Provider Demographics
NPI:1336167600
Name:WILLIAMS, SHAWN RAY (DO)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:RAY
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:311 JONES MILL RD
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-4765
Mailing Address - Country:US
Mailing Address - Phone:912-764-6236
Mailing Address - Fax:912-764-7063
Practice Address - Street 1:7031 MARBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-1911
Practice Address - Country:US
Practice Address - Phone:210-761-3393
Practice Address - Fax:210-761-3397
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA066841207RA0401X
TXT3902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine