Provider Demographics
NPI:1497829139
Name:WILLIAMSON, THOMAS B (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:B
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3-3420 KUHIO HIGHWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1098
Mailing Address - Country:US
Mailing Address - Phone:808-335-0499
Mailing Address - Fax:808-335-0496
Practice Address - Street 1:4382 WAIALO RD
Practice Address - Street 2:
Practice Address - City:ELEELE
Practice Address - State:HI
Practice Address - Zip Code:96705
Practice Address - Country:US
Practice Address - Phone:808-335-0499
Practice Address - Fax:808-335-0496
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2012-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-8835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIF83121Medicare UPIN