Provider Demographics
NPI:1982008983
Name:WILLIAMS, JULIAN MARK (CCP)
Entity Type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:MARK
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:CCP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3100 WEST END AVENUE SUITE 800
Mailing Address - Street 2:ONE AMERICAN CENTER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:800-345-4565
Mailing Address - Fax:
Practice Address - Street 1:665 WINTER ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3934
Practice Address - Country:US
Practice Address - Phone:503-814-2176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist