Greg Lee Williams NP

NPI 1396079042 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1396079042
Gender Male
Enumeration Date 09/29/2009
Last Updated 03/04/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
950 S MAIN ST
SUITE 2
BAXLEY GA, 31513-0162, US
Phone (912) 367-2596
Fax (912) 367-8706
Business Location
950 S MAIN ST STE 2
BAXLEY GA, 31513-0161, US
Phone (912) 367-2596
Fax (912) 367-8706
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN147732
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According to our database, Greg Lee Williams NP NPI is 1396079042, taxonomy code is 363L00000X and license number is RN147732, license state is located at Georgia. Greg Lee Williams NP physically located at 950 S Main St, Baxley GA, 31513-0162. NPI Number Greg Lee Williams NP has the Individual type.

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1396079042 NPI number is provided on an as is basis without warranty of any kind. 1396079042 is maintained by the National Plan & Provider Enumeration System. The contents of Greg Lee Williams NP are for informational purposes only.