Healthcare Provider Details

I. General information

NPI: 1386587715
Provider Name (Legal Business Name): JOE HENRY WILLIAMS JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 JESSE JEWELL PKWY SE
GAINESVILLE GA
30501
US

IV. Provider business mailing address

NGMC GME 743 SPRING STREET SUITE 710
GAINESVILLE GA
30501
US

V. Phone/Fax

Practice location:
  • Phone: 770-219-5407
  • Fax: 770-219-8369
Mailing address:
  • Phone: 770-219-8730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: