Individual ProviderThomas Carl WilliamsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1940 Harrison Ave, Panama City, FL 32405-4542(850) 763-0017PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Carl Williamson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740595933Provider TypeIndividualFull NameWilliamson, Thomas CarlCredentialA.R.N.P.GenderMaleSole ProprietorNoEnumeration Date8/11/2010Last Updated8/11/2010Contact InformationPractice LocationPractice Address1940 Harrison Ave, Panama City, FL 32405-4542Phone(850) 763-0017Fax(850) 763-5486Mailing LocationMailing Address1940 Harrison Ave, Panama City, FL 32405-4542Phone(850) 763-0017Fax(850) 763-5486Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP 9224791Florida