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General NPI Number Information
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NPI Number | 1548465016
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Entity Type | Organization
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Legal Business Name | ROBERT J WILLIAMS, MD, PC
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 111 S WASHINGTON ST
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City | LINCOLNTON
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State | GA
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Zip | 30817-2870
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Country | US
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Telephone | 706-359-4215
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Fax | 706-359-1662
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | LINCOLNTON
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State | GA
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Zip | 30817-0189
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Country | US
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Telephone | 706-359-4215
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Fax | 706-359-1662
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Authorized Official
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Title or Position | MD
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Name | ROBERT JACKSON WILLIAMS
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Credential |
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Telephone | 706-359-4215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 29263
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License Number State | GA
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