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General NPI Number Information
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NPI Number | 1447974563
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Entity Type | Individual
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Provider Name | JONATHAN BLYTHE WILLIAMS PHYSICIAN ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 6298 VETERANS PKWY STE 5A
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City | COLUMBUS
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State | GA
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Zip | 31909-6245
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Country | US
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Telephone | 706-287-9885
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Fax | 800-289-6001
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Provider Business Mailing Address
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Address Line | 6298 VETERANS PKWY STE 5A
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City | COLUMBUS
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State | GA
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Zip | 31909-6245
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Country | US
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Telephone | 706-287-9885
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Fax | 800-289-6001
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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