NPI 1972166114

Darthvader Devon Williamson, RSA

Practitioner Surgical Assistant Bartlett, TN

Practice location

Address: 2986 Kate Bond Rd, Bartlett, TN 38133-4003
Phone: (901) 820-7468
Mailing address: 13560 Highway 196, Eads, TN 38028-3606

Registered specialties (2)

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Tennessee →

Surgical Assistant

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence MAS0000000047 (TN)

Registry record

NPI: 1972166114
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2019
Record last updated: 14 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.