Williams, John Richard
Williams, John Richard is an individual health care provider with primary practice located at 189 Bo James St Ste 105 , Clayton GA 30525-6199. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Williams, John Richard can be contacted via phone (706) 782-0016.Contact Information
Primary practice address
189 Bo James St Ste 105
Clayton GA 30525-6199
Phone: (706) 782-0016
Fax: (706) 782-0180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-13479 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 007425 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7425 | Georgia |
Profile Details
| NPI number | 1396141974 |
|---|---|
| LBN Legal business name | Williams, John Richard |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2014 |
| Last updated | Jun 5th, 2024 - about 2 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 | 1396141974 | NPPES |
| Georgia | MEDICAID | 003153646H | |
| Georgia | MEDICAID | 003153646K | |
| Georgia | Other | 06705493 | |
| Georgia | Other | 1819077 | |
| Georgia | MEDICAID | 003153646I | |
| Georgia | MEDICAID | 003153646G | |
| Georgia | MEDICAID | 003153646J | |
| Georgia | MEDICAID | 003153646L |
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