Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Darthvader Devon Williamson, RSA

Individual provider Surgical Assistant · NPI 1972166114

Darthvader Devon Williamson, RSA is a Surgical Assistant in Bartlett, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone: (901) 820-7468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X
Surgical Assistant Taxonomy 246ZC0007X · Licence MAS0000000047 (TN)

Record details

NPI number1972166114
Entity typeIndividual (Type 1)
GenderMale
Credentials RSA
Sole proprietorYes
NPI enumeratedApril 14, 2019
Last updated in NPPESApril 14, 2019
Mailing address13560 Highway 196, Eads, TN 38028-3606

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