Williams, James Edwin

Williams, James Edwin is an individual health care provider with primary practice located at 1025 E Freeway Dr Se , Conyers GA 30094-5965. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Williams, James Edwin can be contacted via phone (770) 929-3338.

Contact Information

Primary practice address
1025 E Freeway Dr Se Conyers GA 30094-5965
Phone: (770) 929-3338
Fax: (770) 760-7942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000489 Georgia

Profile Details

NPI number 1356323778
LBN Legal business name Williams, James Edwin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Oct 29th, 2007 - 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 1356323778 NPPES
Georgia MEDICAID 00253921B

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