Individual
JEFFREY WILLIAMS
Active
Individual
JEFFREY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD36675
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01971304
MS MEDICAID
MS
01
—
175395001
ARKANSAS MEDICAID
AR
05
—
3877686
—
TN
01
—
4050020
BLUE CROSS
TN
01
—
P00110752
RAILROAD
—
Enumeration date
07/13/2006
Last updated
10/26/2016
Update your record
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