Williams, Greg Lee

Williams, Greg Lee is an sole proprietor health care provider with primary practice located at 388 S Main St , Baxley GA 31513-0104. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Williams, Greg Lee can be contacted via phone (912) 705-9680.

Contact Information

Primary practice address
388 S Main St Baxley GA 31513-0104
Phone: (912) 705-9680
Fax: (912) 705-0531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN147732 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN147732NP Georgia

Profile Details

NPI number 1396079042
LBN Legal business name Williams, Greg Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2009
Last updated Jul 25th, 2023 - about last year

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 1396079042 NPPES
Georgia Other 202G704612 MEDICARE PTAN
Georgia MEDICAID 812644415J MEDICARE PTAN
Georgia MEDICAID 003120968A MEDICARE PTAN

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