Organization
GREGORY G WILLIAMS MD INC A MEDICAL CORPORATION
Active
Other names
south valley vein center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY GRANT WILLIAMS MD (OWNER)
(661) 654-8346
Entity
Organization
Contact information
Practice address
1500 HAGGIN OAKS BLVD, 202, BAKERSFIELD, CA 93311-1333
(661) 654-8346
(661) 654-8337
Mailing address
1500 HAGGIN OAKS BLVD, 202, BAKERSFIELD, CA 93311-1333
(661) 654-8346
(661) 654-8337
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G73172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699795088
TYPE 1 NPI
—
Enumeration date
10/02/2007
Last updated
10/13/2011
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