Provider Demographics
NPI:1982636510
Name:WILLIAMS, JONATHAN E (MD)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:JANICE HECHT DEPARTMENT OF EMERGENCY
Mailing Address - Street 2:WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BLVD.
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-1896
Mailing Address - Fax:336-716-5438
Practice Address - Street 1:1240 HUFFMAN MILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-538-7064
Practice Address - Fax:336-538-7041
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2006-00611207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice