Provider Demographics
NPI:1912744335
Name:WILLIAMS, PHILLIP JAMES (MD)
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:JAMES
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 21ST AVENUE SOUTH SUITE 202
Mailing Address - Street 2:VANDERBILT COLON AND RECTAL SURGERY, MEDICAL ARTS BUILD
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212
Mailing Address - Country:US
Mailing Address - Phone:615-936-1678
Mailing Address - Fax:
Practice Address - Street 1:1211 21ST AVENUE SOUTH SUITE 202
Practice Address - Street 2:VANDERBILT COLON AND RECTAL SURGERY, MEDICAL ARTS BUILD
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212
Practice Address - Country:US
Practice Address - Phone:615-936-1678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2025-04-23
Deactivation Date:2025-04-07
Deactivation Code:
Reactivation Date:2025-04-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program