Williams, Gregory D

Williams, Gregory D is an individual health care provider with primary practice located at 700 E Marshall Ave , Longview TX 75601-5580. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Williams, Gregory D can be contacted via phone (903) 315-2000.

Contact Information

Primary practice address
700 E Marshall Ave Longview TX 75601-5580
Phone: (903) 315-2000
Fax: (903) 315-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05156 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.200052 Louisiana

Profile Details

NPI number 1326174012
LBN Legal business name Williams, Gregory D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 25th, 2014 - about 10 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 1326174012 NPPES
Texas Other PA05156 LICENSE

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