| Williams Family Practice Pllc | |
|
1 Garton Plz Weston WV 26452-2128 | |
| (304) 517-1301 | |
| (304) 517-1304 |
| Full Name | Williams Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Garton Plz, Weston, West Virginia |
| Authorized Official Name and Position | Jeremy S Williams (PHYSICIAN) |
| Authorized Official Contact | 3045171301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Family Practice Pllc 1 Garton Plz Weston WV 26452-2128 Ph: (304) 517-1301 | Williams Family Practice Pllc 1 Garton Plz Weston WV 26452-2128 Ph: (304) 517-1301 |
| NPI Number | 1780945907 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Medicare PECOS PAC ID | 2567619141 |
|---|---|
| Medicare Enrollment ID | O20120904000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780945907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23084 (West Virginia) | Primary |
| Provider Name | Jeremy S Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922212117 PECOS PAC ID: 8325191935 Enrollment ID: I20090730000484 |
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