Williams, Johnathan Deleon

Williams, Johnathan Deleon is an individual health care provider with primary practice located at 640 Summit Crossing Pl Ste 204, Gastonia NC 28054-2142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Williams, Johnathan Deleon can be contacted via phone (704) 865-0626.

Contact Information

Primary practice address
640 Summit Crossing Pl Ste 204 Gastonia NC 28054-2142
Phone: (704) 865-0626
Fax: (704) 865-6531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31957 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31957 North Carolina

Profile Details

NPI number 1245201557
LBN Legal business name Williams, Johnathan Deleon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Oct 23rd, 2007 - about 17 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 1245201557 NPPES
North Carolina MEDICAID 8987659

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