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Individual

JEROME E WILLIAMS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1718 E 4TH ST, STE 501, CHARLOTTE, NC 28204-3260
(704) 343-9800
(704) 347-2011
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 347-2011

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9600778
NC
207RC0000X
Cardiovascular Disease Physician
Primary
9600778
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8987789
NC
05
N00778
SC
Enumeration date
07/11/2005
Last updated
06/11/2021
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