Williams, Jerome E

Williams, Jerome E is an individual health care provider with primary practice located at 1718 E 4Th St Ste 501, Charlotte NC 28204-3260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Williams, Jerome E can be contacted via phone (704) 343-9800.

Contact Information

Primary practice address
1718 E 4Th St Ste 501 Charlotte NC 28204-3260
Phone: (704) 343-9800
Fax: (704) 347-2011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9600778 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9600778 North Dakota

Profile Details

NPI number 1730187063
LBN Legal business name Williams, Jerome E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730187063 NPPES
North Carolina MEDICAID 8987789
North Carolina MEDICAID N00778

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