Williams, Johnny Lee
Williams, Johnny Lee is an sole proprietor health care provider with primary practice located at 825 Gum Branch Rd Suite 121, Jacksonville NC 28540-6298. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Williams, Johnny Lee can be contacted via phone (910) 333-0551.Contact Information
Primary practice address
825 Gum Branch Rd Suite 121
Jacksonville NC 28540-6298
Phone: (910) 333-0551
Fax: (910) 938-0900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 20584 | North Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20584 | North Carolina |
Profile Details
| NPI number | 1972697746 |
|---|---|
| LBN Legal business name | Williams, Johnny Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972697746 | NPPES |
| North Carolina | Other | 87700 | BCBSNC |
| North Carolina | Other | 0728888 | BCBSNC |
| North Carolina | MEDICAID | 8987700 | BCBSNC |
| North Carolina | Other | 20584 | BCBSNC |
| North Carolina | Other | 34D0944653 | BCBSNC |
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