Individual
DR. JOHNNY LEE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 GOVERNMENT CIR, GREENVILLE, NC 27834-8198
(252) 413-1637
(252) 317-0316
Mailing address
203 GOVERNMENT CIR, GREENVILLE, NC 27834-8198
(252) 413-1637
(252) 317-0316
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20584
NC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
20584
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0728888
UNITED HEALTHCARE
NC
01
—
20584
MEDICAL LICENSE
NC
01
—
34D0944653
CLIA
NC
01
—
87700
BCBSNC
NC
05
—
8987700
—
NC
Enumeration date
10/03/2006
Last updated
12/10/2024
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