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Individual

MR. JOHN POWELL WILLIAMS IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
200 FORT SANDERS W BLVD, BUILDING 1, SUITE 102, KNOXVILLE, TN 37922
(865) 531-5350
(865) 374-2125
Mailing address
200 FORT SANDERS W BLVD, BUILDING 1, SUITE 102, KNOXVILLE, TN 37922
(865) 531-5350
(865) 374-2125

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1162330
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
05
Q053289
TN
Enumeration date
05/28/2019
Last updated
11/19/2025
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