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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578534673 | NPPES |
| Kentucky | MEDICAID | 64664469 |
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