NPI 1063025104
Jerrold Anthony Williams
Practice location
- Address
- 109 Trevecca Ln, Oak Ridge, TN 37830-6616
- Phone
- (865) 776-4608
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1063025104
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Aug 2020
- Record last updated
- 28 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.