Individual
DR. GARY S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CLOVERLEAF SQ, SUITE F1, BIG STONE GAP, VA 24219-2758
(276) 523-6715
(276) 523-6719
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101032208
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64664469
—
KY
Enumeration date
01/28/2006
Last updated
03/25/2008
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