Organization · NPI-2

Eugene H Williamson D.D.S.,m.S.,p.C.

Clinic/Center · Evans, GA

NPI number1659306223
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1659306223
Entity type
Organization (NPI-2)
Legal business name
Eugene H Williamson D.D.S.,m.S.,p.C.
Organization subpart
No
Enumeration date
Jul 12, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterDN009012GAYes

Practice location

4250 Washington Rd
Evans, GA 30809-3087

Phone 706-860-5074 · Fax 706-860-5088

Mailing address

4250 Washington Rd
Evans, GA 30809-3087

Phone 706-860-5074 · Fax 706-860-5088

Authorized official

Catherine Williamson
Office Manager
7068605074

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