| Doctor Name: | NICHOLAS JAY WILLIAMS |
| NPI Number: | 1023231156 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0110003417 |
| Business Practice Address: | 1101 Sam Perry Blvd #211 Fredericksburg, VA - 224014467 |
| Business Phone Number: | 5403727792 |
| Business Fax Number: | |
| Mailing Address: | 1101 Sam Perry Blvd, #211 FREDERICKSBURG |
| State: | VA |
| Postal Code: | 224014467 |
| Phone Number: | 5403727792 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 10/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 0110003417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |