Individual
JASON LUCIOUS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
2017-00690
NC
2080P0202X
Pediatric Cardiology Physician
35.139742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444565
—
OH
Enumeration date
04/16/2014
Last updated
11/08/2022
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