Individual
JOHN EDWARD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE A200, GREENVILLE, SC 29615-3593
(864) 454-4115
(864) 454-5160
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
29542
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295424
—
SC
Enumeration date
11/01/2006
Last updated
09/05/2013
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