Individual
DR. JOHN GRADY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
057860
GA
207W00000X
Ophthalmology Physician
ME93334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416563800A
—
GA
05
—
416563800B
—
GA
01
—
P00380152
RAILROAD MEDICARE
GA
Enumeration date
05/12/2006
Last updated
04/25/2008
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