Healthcare Provider Details

I. General information

NPI: 1649494568
Provider Name (Legal Business Name): JOHN FRANKLIN WILLIAMS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 23RD ST NW
WASHINGTON DC
20037-2342
US

IV. Provider business mailing address

900 23RD ST NW
WASHINGTON DC
20037-2342
US

V. Phone/Fax

Practice location:
  • Phone: 202-715-4709
  • Fax: 202-715-4759
Mailing address:
  • Phone: 202-715-4709
  • Fax: 202-715-4759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD13310
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: