Scot T Williams, PA Valid NPI

Individual provider · Physician Assistant · Fort Walton Beach, FL

NPI

1942205190

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA9103018 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-06-15

Last updated

2017-02-23