Provider Demographics
NPI:1154364503
Name:WILLIAMSON, SHERRIE G (DO)
Entity type:Individual
Prefix:DR
First Name:SHERRIE
Middle Name:G
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3201 W TECUMSEH RD
Mailing Address - Street 2:STE. 230
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-1818
Mailing Address - Country:US
Mailing Address - Phone:405-701-1010
Mailing Address - Fax:
Practice Address - Street 1:3301 W ROCK CREEK RD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2436
Practice Address - Country:US
Practice Address - Phone:405-701-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2988207N00000X
TXJ5948207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF07078Medicare UPIN
TX00668RMedicare ID - Type Unspecified