Basic Information
Provider Information
NPI: 1912926544
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WILLIAMSON
FirstName: CHRISTIE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 225 E MAIN ST
Address2: STE 300
City: ROCK HILL
State: SC
PostalCode: 297304541
CountryCode: US
TelephoneNumber: 8033289600
FaxNumber: 8033297141
Practice Location
Address1: 1906 HIGHWAY 521
Address2: BYPASS S.
City: LANCASTER
State: SC
PostalCode: 29730
CountryCode: US
TelephoneNumber: 8033289600
FaxNumber: 8033297141
Other Information
ProviderEnumerationDate: 07/18/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X19377SCY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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