Jerod K Williams
Student in an Organized Health Care Education/Training Program in Harrogate, TN. Individual provider (NPI-1).
NPI number1063250488
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1063250488
- Entity type
- Individual (NPI-1)
- Name
- Jerod K Williams
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2024
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
6965 Cumberland Gap PkwyHarrogate, TN 37752-8231
Phone 423-869-6723
Mailing address
4429 Bucknell DrKnoxville, TN 37938-3137
Phone 916-955-2118
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All 30 Student in an Organized Health Care Education/Training Program providers in Harrogate · All 184 providers in Harrogate
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