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Dr. Johnny Lee Williams, MD
General Practice Physician in Jacksonville, North Carolina
NPI 1972697746

Johnny Lee Williams is a General Practice Physician based in Jacksonville, NC. Johnny Lee Williams practices in Jacksonville, NC and has the professional credentials of MD. The NPI Number for Johnny Lee Williams is 1972697746 and holds a License No. 20584 (North Carolina).

The current practice location address for Johnny Lee Williams is 825 Gum Branch Rd, Jacksonville, NC and can be reached out via phone at 910-333-0551 and via fax at 910-938-0900. You can also correspond with Johnny Lee Williams through the mailing address at PO BOX 12033, JACKSONVILLE, NC - 28546-2033 (mailing address contact number: 910-333-0551).

Location: 825 Gum Branch Rd, Jacksonville, NC, 28546-2033
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Provider Profile Details
NPI Number
1972697746
Provider Name
Johnny Lee Williams
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
825 Gum Branch Rd, Jacksonville, NC, 28546-2033
Phone Number
910-333-0551
Fax Number
910-938-0900
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87700 01 NC BCBSNC
0728888 01 NC UNITED HEALTHCARE
8987700 05 NC
20584 01 NC MEDICAL LICENSE
34D0944653 01 NC CLIA
institution
Provider Business Practice Location Address Details
Address
825 Gum Branch Rd
City
State
Zip
28540-6298
Phone Number
910-333-0551
Fax Number
910-938-0900
person
Provider Business Mailing Address Details
Address
Po Box 12033
City
State
Zip
28546-2033
Phone Number
910-333-0551
Fax Number
910-938-0900
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
20584 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
20584 (North Carolina)
Definition
Definition to come...
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