Williams, Gary S

Williams, Gary S is an individual health care provider with primary practice located at 1 Cloverleaf Sq Suite F1, Big Stone Gap VA 24219-2758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Williams, Gary S can be contacted via phone (276) 523-6715.

Contact Information

Primary practice address
1 Cloverleaf Sq Suite F1 Big Stone Gap VA 24219-2758
Phone: (276) 523-6715
Fax: (276) 523-6719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101032208 Virginia

Profile Details

NPI number 1578534673
LBN Legal business name Williams, Gary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Mar 25th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578534673 NPPES
Kentucky MEDICAID 64664469

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