Provider / Organization | NPI | Date Certified |
---|---|---|
JACOB TAYLOR WILLIAMSON | 1760129415 | 2022-05-15 |
Jacob Taylor Williamson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760129415. Registration indicates Jacob Taylor Williamson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Jacob Taylor Williamson MD |
Practice Office Address | 550 S JACKSON ST FL STREET1 LOUISVILLE, KY US |
Practice Office Telephone | 5028526902 |
Mailing Address | 550 S JACKSON ST FL STREET1 LOUISVILLE, KY 402021622 US |
Business Telephone | 5028528605 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |