Doctor Name: | DR. GREGORY JAY WILLIAMS |
NPI Number: | 1215916804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | P0000001910 |
Business Practice Address: | 11014 Apison Pike Apison, TN - 373020000 |
Business Phone Number: | 4238992204 |
Business Fax Number: | 4236984045 |
Mailing Address: | Po Box 80894, CHATTANOOGA |
State: | TN |
Postal Code: | 374147894 |
Phone Number: | 4232365888 |
Fax Number: | 4234764808 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 10/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | P0000001910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |