Provider Demographics
NPI:1962409557
Name:WILLIAMSON, DANA C (DC)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:C
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 TRUMPETVINE LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-7536
Mailing Address - Country:US
Mailing Address - Phone:804-852-5689
Mailing Address - Fax:
Practice Address - Street 1:7481 RIGHT FLANK RD.
Practice Address - Street 2:SUITE 100
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3834
Practice Address - Country:US
Practice Address - Phone:804-746-7580
Practice Address - Fax:804-746-7579
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555922111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU70469Medicare UPIN
VA004230C60Medicare ID - Type UnspecifiedMEDICARE