Individual
DR. JOHN GRADY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 ERIN OFFICE PARK, DUBLIN, GA 31021-2866
(478) 272-5933
(478) 272-4350
Mailing address
18 ERIN OFFICE PARK, DUBLIN, GA 31021-2866
(478) 272-5933
(478) 272-4350
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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