Provider Demographics
NPI:1952580086
Name:JAMES D. WILLIAMS, MD, PC
Entity Type:Organization
Organization Name:JAMES D. WILLIAMS, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DEWEY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-692-0003
Mailing Address - Street 1:PO BOX 651
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-0651
Mailing Address - Country:US
Mailing Address - Phone:919-692-0003
Mailing Address - Fax:919-692-0004
Practice Address - Street 1:103 PROFESSIONAL PARK STE B
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2581
Practice Address - Country:US
Practice Address - Phone:919-692-0003
Practice Address - Fax:919-692-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCDB1629OtherMEDICARE RAILROAD
NCDB1629OtherMEDICARE RAILROAD