Carolyn M Williams (NPI# 1750478129, PAC ID# 0941326995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1750478129 |
| PAC ID by PECOS | 0941326995 |
| Professional Enrollment ID | I20100927001292 |
| Full Name | Carolyn M Williams |
| Organization Legal Name | SHORELINE MEDICAL GROUP, P.A. |
| Address |
419 Baltzell Ave Port Saint Joe FL 32456-1864 |
| Phone Number | 8502298010 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0840341236 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 419 Baltzell Ave, Port Saint Joe, FL 32456-1864 | 8502298010 | SHORELINE MEDICAL GROUP, P.A. |
| Organization Legal Name | SHORELINE MEDICAL GROUP, P.A. |
| Physicians | 1 |
| Street Address |
419 BALTZELL AVE |
| City | PORT SAINT JOE |
| State | FL |
| Zip | 32456-1864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Corry | Optometry | Eye Center of North Florida P A | 528 Cecil G Costin Sr Blvd, Port Saint Joe, FL 32456-1754 |
| Derek Duane Tracy | Chiropractic | 223 9th St, Port Saint Joe, FL 32456-1923 | |
| Amy E Miller | Nurse Practitioner | Sacred Heart Hospital On The Gulf | 805 W Hwy 22, Wewahitchka, FL 32456-3237 |
| Monica M Barfield | Nurse Practitioner | Vincent M Ivers | 301 20th St, Port St Joe, FL 32456-3301 |
| Vincent M Ivers | Internal Medicine | Vincent M Ivers | 301 20th St, Port St Joe, FL 32456-3301 |
| Brittany Gardner Mccroan | Nurse Practitioner | 106 Trade Cir W, Suite J, Port Saint Joe, FL 32456-5191 | |
| Nancy P Anderson | Nurse Practitioner | Sacred Heart Hospital On The Gulf | 3871 E Hwy 98, Port St Joe, FL 32456-5301 |
| Heather Wells | Family Medicine | Sacred Heart Hospital On The Gulf | 3871 E Hwy 98, Port St Joe, FL 32456-5301 |
| Rachel M Bixler | Family Medicine | Sacred Heart Hospital On The Gulf | 3871 E Hwy 98, Port St Joe, FL 32456-5301 |
| Stacy L Harbin | General Surgery | Sacred Heart Hospital On The Gulf | 3871 E Hwy 98, Suite 201, Port St Joe, FL 32456-5302 |
| Find all physicians in zip 32456 | |||
| City | PORT SAINT JOE |
| Zip Code | 32456 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORT SAINT JOE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.