Healthcare Provider Details

I. General information

NPI: 1619893096
Provider Name (Legal Business Name): DR. GEORGE ALEX WILLIAMS II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2299 BOONES CREEK RD
JOHNSON CITY TN
37615-4442
US

IV. Provider business mailing address

2299 BOONES CREEK RD
JOHNSON CITY TN
37615-4442
US

V. Phone/Fax

Practice location:
  • Phone: 423-341-7044
  • Fax:
Mailing address:
  • Phone: 423-341-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number8525
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: