Individual
GEORGE PATTESON WILLIAMS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10810 MALLARD CREEK RD, CHARLOTTE, NC 28262-9786
(704) 510-8000
(704) 510-8006
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-04760
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/02/2018
Last updated
08/12/2021
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