Individual
DR. JEREMY SHANNON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, SAMMC, MCHE-MDX, INTERNAL MEDICINE RESIDENCY, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-8176
(210) 292-7868
Mailing address
3551 ROGER BROOKE DR, SAMMC, MCHE-MDX, INTERNAL MEDICINE RESIDENCY, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-8176
(210) 292-7868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101262111
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2015
Last updated
05/08/2017
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