Williams, Gordon Frank
Williams, Gordon Frank is an individual health care provider with primary practice located at 250 W Kings Hwy , Eden NC 27288-5010. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Williams, Gordon Frank can be contacted via phone (336) 623-5171.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 39977 | Tennessee |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101241909 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD39977 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD39977 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD39977 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2021-00786 | North Carolina |
Profile Details
| NPI number | 1194768382 |
|---|---|
| LBN Legal business name | Williams, Gordon Frank |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 13th, 2021 - about 5 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 | 1194768382 | NPPES |
| Tennessee | Other | 4153169 | BLUE CROSS |
| Tennessee | MEDICAID | 3334468 | BLUE CROSS |
| Tennessee | Other | 4108063 | BLUE CROSS |
| Tennessee | MEDICAID | 5910413 | BLUE CROSS |
| Tennessee | Other | P00254453 | BLUE CROSS |
| Tennessee | MEDICAID | 3334467 | BLUE CROSS |
| Tennessee | MEDICAID | 1194768382 | BLUE CROSS |
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