Provider Demographics
NPI:1265540751
Name:WILLIAMS, BARTON GEE (MD)
Entity type:Individual
Prefix:MR
First Name:BARTON
Middle Name:GEE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 39TH STREET
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403
Mailing Address - Country:US
Mailing Address - Phone:910-792-1231
Mailing Address - Fax:910-799-8118
Practice Address - Street 1:1414 39TH STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-792-1231
Practice Address - Fax:910-799-8118
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F36078Medicare UPIN
2008077Medicare ID - Type Unspecified
NC2327958Medicare PIN