Williams, George A

Williams, George A is an individual health care provider with primary practice located at 2325 Dougherty Ferry Rd Suite 205, Saint Louis MO 63122-3356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Williams, George A can be contacted via phone (314) 966-9888.

Contact Information

Primary practice address
2325 Dougherty Ferry Rd Suite 205 Saint Louis MO 63122-3356
Fax: (314) 966-5957
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MOR6824 Missouri

Profile Details

NPI number 1457393415
LBN Legal business name Williams, George A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457393415 NPPES
Missouri MEDICAID 200711521

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