Williams, Johnathan Grant

Williams, Johnathan Grant is an sole proprietor health care provider with primary practice located at 1601 Maple St , Carrollton GA 30118-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Williams, Johnathan Grant can be contacted via phone (678) 839-5000.

Contact Information

Primary practice address
1601 Maple St Carrollton GA 30118-0001
Fax:
Website:

Health care specialties

Profile Details

NPI number 1497308993
LBN Legal business name Williams, Johnathan Grant
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2019
Last updated Nov 27th, 2023 - about 2 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 1497308993 NPPES
Other 2000030441 BOARD OF CERTIFICATION NUMBER

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