| Odies H. Williams, Iii, M. D., P. C. | |
|
2200 Grant St Suite 101 Gary IN 46404-3439 | |
| (219) 949-3203 | |
| (219) 944-7030 |
| Full Name | Odies H. Williams, Iii, M. D., P. C. |
|---|---|
| Speciality | Family Medicine |
| Location | 2200 Grant St, Gary, Indiana |
| Authorized Official Name and Position | Odies Henry Williams (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2199493203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odies H. Williams, Iii, M. D., P. C. 2200 Grant St Suite 101 Gary IN 46404-3439 Ph: (219) 949-3203 | Odies H. Williams, Iii, M. D., P. C. 2200 Grant St Suite 101 Gary IN 46404-3439 Ph: (219) 949-3203 |
| NPI Number | 1346587771 |
|---|---|
| Provider Enumeration Date | 01/04/2013 |
| Last Update Date | 01/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346587771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01026836A (Indiana) | Primary |
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