Williford, John K

Williford, John K is an individual health care provider with primary practice located at 200 Providence Rd Suite 101, Charlotte NC 28207-1468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Williford, John K can be contacted via phone (704) 749-5800.

Contact Information

Primary practice address
200 Providence Rd Suite 101 Charlotte NC 28207-1468
Fax: (704) 749-5819
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30112 North Carolina

Profile Details

NPI number 1508851734
LBN Legal business name Williford, John K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 5th, 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 1508851734 NPPES
North Carolina MEDICAID 8988064

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