Individual
MR. JIMMY F WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
823 FRONT ST E, COEBURN, VA 24230
(276) 708-1944
(276) 395-7240
Mailing address
823 FRONT ST E, COEBURN, VA 24230-4112
(276) 708-1944
(276) 395-7240
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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