Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 14607 | SC |
NPI | 1528040854 |
---|---|
Provider Name | Dr. James A Williams |
First Address | West Columbia, SC 29171-2046 |
Second Address | Columbia, SC 29210-8239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 16/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
146078 | (05) | SC |
E34598 | (02) |