Ajwilliamscorporation

Key facts

NPI

1194897330

Entity type

Organization (NPI type 2)

Primary specialty

Public Health or Welfare Agency 251K00000X

Legal business name

AJWILLIAMSCORPORATION

Practice address

1012 Oaklawn Ave
Norfolk, VA 23504-3606

Phone

(757) 961-3734

Fax

(757) 627-5333

NPI assigned

Nov 14, 2006

Organization subpart

No

Authorized official

Name

Dr. Anderson James Williams Jr., M.D.

Title

Ceo

Phone

(757) 961-3734

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194897330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 OAKLAWN AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043606",
            "telephone_number": "757-961-3734",
            "fax_number": "757-627-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 OAKLAWN AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043606",
            "telephone_number": "757-961-3734",
            "fax_number": "757-627-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJWILLIAMSCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-961-3734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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