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

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

Practice location Address checks out

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone: (901) 820-7468
Show map & directions

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

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