Provider Demographics
NPI:1003460254
Name:JG WILLIAMS HOLDING CO
Entity type:Organization
Organization Name:JG WILLIAMS HOLDING CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHNTE
Authorized Official - Middle Name:G
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-230-0468
Mailing Address - Street 1:305 BROOKGREEN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-4610
Mailing Address - Country:US
Mailing Address - Phone:859-230-0468
Mailing Address - Fax:
Practice Address - Street 1:305 BROOKGREEN DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4610
Practice Address - Country:US
Practice Address - Phone:859-230-0468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JG WILLIAMS HOLDING CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health