Provider Demographics
NPI:1114016094
Name:WILLIAMS, JAMES STRATFORD (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STRATFORD
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:SLEDGEHAMMER TMC
Mailing Address - Street 2:BLDG 9052, WATKINS RD
Mailing Address - City:FORT BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905
Mailing Address - Country:US
Mailing Address - Phone:706-544-2374
Mailing Address - Fax:
Practice Address - Street 1:SLEDGEHAMMER TMC
Practice Address - Street 2:BLDG 9052, WATKINS RD
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905
Practice Address - Country:US
Practice Address - Phone:706-544-2374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5099083OtherDRIVER LIC