Williams, Jesse J.

Williams, Jesse J. is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-5611. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Williams, Jesse J. can be contacted via phone (864) 455-7000.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-5611
Phone: (864) 455-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1123 South Carolina

Profile Details

NPI number 1275565848
LBN Legal business name Williams, Jesse J.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jun 21st, 2013 - about 13 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 1275565848 NPPES
South Carolina MEDICAID 0438PA

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