# GREGORY G WILLIAMS MD INC A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** south valley vein center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053508176
- **Authorized official:** DR. GREGORY GRANT WILLIAMS MD (OWNER)
- **Authorized official phone:** (661) 654-8346

## Contact information

- **Practice address:** 1500 HAGGIN OAKS BLVD, 202, BAKERSFIELD, CA 93311-1333
- **Practice address phone:** (661) 654-8346
- **Practice address fax:** (661) 654-8337
- **Mailing address:** 1500 HAGGIN OAKS BLVD, 202, BAKERSFIELD, CA 93311-1333
- **Mailing address phone:** (661) 654-8346
- **Mailing address fax:** (661) 654-8337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G73172 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 10/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1699795088 | TYPE 1 NPI | — |