Individual
JONATHAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
059237
GA
207Q00000X
Family Medicine Physician
059237
GA
207Q00000X
Family Medicine Physician
OS10149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584670139C
—
GA
05
—
G59237
—
SC
Enumeration date
01/16/2007
Last updated
02/08/2017
Update your record
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