Provider Demographics
NPI:1285683664
Name:WILLIAMS, HUGH HERMES (MD)
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:HERMES
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:220 S CLAYBROOK ST
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3527
Mailing Address - Country:US
Mailing Address - Phone:901-276-6277
Mailing Address - Fax:901-276-6220
Practice Address - Street 1:220 S CLAYBROOK ST
Practice Address - Street 2:SUITE 314
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3527
Practice Address - Country:US
Practice Address - Phone:901-276-6277
Practice Address - Fax:901-276-6220
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD012799207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN000122060OtherBLUE CROSS/BLUE SHIELD
TNBO4867Medicare UPIN
TN3199839Medicare ID - Type Unspecified