Provider Demographics
NPI:1083435044
Name:WILLIAMSON-MCALLISTER, AHDAYSIA (PA-C)
Entity type:Individual
Prefix:
First Name:AHDAYSIA
Middle Name:
Last Name:WILLIAMSON-MCALLISTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 BIG SAM CIR
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-8010
Mailing Address - Country:US
Mailing Address - Phone:540-841-6033
Mailing Address - Fax:
Practice Address - Street 1:4470 REGENCY PL STE 106
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3085
Practice Address - Country:US
Practice Address - Phone:240-252-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant