Individual
JAMES MARSHALL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1011 MAIN ST, STE 110, INDIANAPOLIS, IN 46224-6977
(317) 247-0201
(317) 481-6756
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-7584
(317) 957-2705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000581A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081247
BLUE CROSS BLUE SHIELD
IN
05
—
100318810
—
IN
01
—
P01456978
RAIL ROAD PTAN
IN
Enumeration date
06/24/2005
Last updated
11/27/2023
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