Individual
MARVIN H. WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1176 E HOME RD, SUITE O, SPRINGFIELD, OH 45503-2726
(937) 398-0051
(937) 398-0054
Mailing address
1176 E HOME RD, SUITE O, SPRINGFIELD, OH 45503-2726
(937) 398-0051
(937) 398-0054
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.051235
OH
207P00000X
Emergency Medicine Physician
Primary
9700809
NC
207Q00000X
Family Medicine Physician
35-051235
OH
207Q00000X
Family Medicine Physician
9700809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000335653
ANTHEM
OH
01
—
000000544524
ANTHEM
OH
05
—
2477181
—
OH
Enumeration date
08/30/2006
Last updated
10/27/2015
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