Individual
JEFF DOUGLAS WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9701658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076P
BCBS
—
01
—
20933
PARTNERS
—
01
—
5350678
AETNA
—
05
—
7600356
—
VA
01
—
76109
MEDCOST
—
05
—
891076P
—
NC
Enumeration date
12/16/2005
Last updated
12/04/2007
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