Williams, Mary Jeanne

Williams, Mary Jeanne is an individual health care provider with primary practice located at 2995 Reidville Rd Ste 100 , Spartanburg SC 29301-5600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Williams, Mary Jeanne can be contacted via phone (864) 587-3000.

Contact Information

Primary practice address
2995 Reidville Rd Ste 100 Spartanburg SC 29301-5600
Phone: (864) 587-3000
Fax: (864) 587-3019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 17838 South Carolina

Profile Details

NPI number 1952414690
LBN Legal business name Williams, Mary Jeanne
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 18th, 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 1952414690 NPPES
South Carolina Other SC69136067 MEDICARE PIN
South Carolina MEDICAID 083233 MEDICARE PIN
South Carolina MEDICAID NP3474 MEDICARE PIN
South Carolina Other SC69136084 MEDICARE PIN

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