Doctor Name: | MR. JONATHAN E WILLIAMS |
NPI Number: | 1982636510 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2006-00611 |
Business Practice Address: | 1240 Huffman Mill Rd Burlington, NC - 272158700 |
Business Phone Number: | 3365387064 |
Business Fax Number: | 3365387041 |
Mailing Address: | Janice Hecht Department Of Emergency, Wake Forest Baptist Health Medical Center Blvd. WINSTON SALEM |
State: | NC |
Postal Code: | 271570001 |
Phone Number: | 3367161896 |
Fax Number: | 3367165438 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2006-00611 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |