Provider Demographics
NPI:1699737205
Name:WILLIAMSON, CHARLES DAVIS (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DAVIS
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:111 FIELDSTONE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-7106
Mailing Address - Country:US
Mailing Address - Phone:478-453-9333
Mailing Address - Fax:478-453-7760
Practice Address - Street 1:111 FIELDSTONE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-7106
Practice Address - Country:US
Practice Address - Phone:478-453-9333
Practice Address - Fax:478-453-7760
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2015-02-24
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Provider Licenses
StateLicense IDTaxonomies
GA025071207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00262534AMedicaid
GA066954OtherBCBS