Individual
MR. JASON ANTHONY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2001 S MAIN ST, SUITE 200, WAKE FOREST, NC 27587-1612
(919) 562-3155
(919) 562-7401
Mailing address
1010 CLARENDON ST, FAYETTEVILLE, NC 28305-4847
(910) 237-9483
(919) 562-7401
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
102539
NC
Other
Enumeration date
11/15/2006
Last updated
04/10/2008
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