Provider Demographics
NPI:1871057158
Name:WILLIAMSON HOSPITALIST PROGRAM
Entity type:Organization
Organization Name:WILLIAMSON HOSPITALIST PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-435-6700
Mailing Address - Street 1:4323 CAROTHERS PKWY STE 205
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5916
Mailing Address - Country:US
Mailing Address - Phone:615-435-6700
Mailing Address - Fax:
Practice Address - Street 1:4323 CAROTHERS PKWY STE 205
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5916
Practice Address - Country:US
Practice Address - Phone:615-435-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty