MR. PA-C John Richard Williams I, NPI 1396141974
Surgical Physician Assistant in Gainesville, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1396141974 |
| NPI Entity Type | Individual |
| Provider Name | MR. PA-C John Richard Williams I |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 655 Jesse Jewell Pkwy Se, Suite B, Gainesville, GA, US |
| Provider Mailing Address | Po Box 658, Gainesville, GA, US, 305030658 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Surgical Physician Assistant |
| Classification | |
| Group | |
| License No. | 007425 |
| License State | GA |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 7425 | GA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 06705493 | GA | AMERIGROUP | 01 |
| 1819077 | GA | WELLCARE | 01 |
| 003153646H | GA | MEDICAID | 05 |
| 003153646K | GA | MEDICAID | 05 |
| 003153646G | GA | MEDICAID | 05 |
| 003153646J | GA | MEDICAID | 05 |
| 003153646I | GA | MEDICAID | 05 |
| 003153646L | GA | MEDICAID | 05 |
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