Williams, James R

Williams, James R is an individual health care provider with primary practice located at 434 4Th St Ste 301, Newport TN 37821-3735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, James R can be contacted via phone (423) 623-1022.

Contact Information

Primary practice address
434 4Th St Ste 301 Newport TN 37821-3735
Fax: (423) 625-0327
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14979 Tennessee

Profile Details

NPI number 1003884412
LBN Legal business name Williams, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Feb 18th, 2010 - about 14 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 1003884412 NPPES
North Carolina MEDICAID 7906926
North Carolina Other 0140268
North Carolina Other 080012097
North Carolina Other 2003654
North Carolina Other 612301
North Carolina MEDICAID 3003795

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