Individual
DR. GORDON FRANK WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 W KINGS HWY, EDEN, NC 27288-5010
(336) 623-5171
Mailing address
250 W KINGS HWY, EDEN, NC 27288-5010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101241909
VA
207P00000X
Emergency Medicine Physician
39977
TN
207R00000X
Internal Medicine Physician
Primary
2021-00786
NC
207R00000X
Internal Medicine Physician
MD39977
TN
208000000X
Pediatrics Physician
MD39977
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD39977
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194768382
—
VA
05
—
3334467
—
TN
05
—
3334468
—
TN
01
—
4108063
BLUE CROSS
TN
01
—
4153169
BLUE CROSS
TN
05
—
5910413
—
NC
01
—
P00254453
RRGA
TN
Enumeration date
06/14/2006
Last updated
12/13/2021
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