Individual
JESSE J. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7000
Mailing address
ONE INDEPENDENCE POINTE, SUITE 212, GREENVILLE, SC 29615-4566
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1123
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438PA
—
SC
Enumeration date
07/06/2006
Last updated
06/21/2013
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