J Lynn Williams MD

Organization Active NPI Family Medicine Physician · Decherd, TN

NPI 1457759482 · NPPES record last updated Dec 8, 2014

Key facts

NPI
1457759482
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
20580 (TN)
Legal business name
J LYNN WILLIAMS MD
Practice address
2006 Decherd Blvd
Decherd, TN 37324-3818
Phone
(931) 962-0561
Fax
(931) 962-2387
NPI assigned
Dec 8, 2014
Organization subpart
No

Authorized official

Name
Jennie Lynn Williams, MD
Title
Owner
Phone
(931) 962-0561

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 20580 TN Yes

Addresses

Primary practice location

2006 Decherd Blvd
Decherd, TN 37324-3818

Mailing address

2006 Decherd Blvd
Decherd, TN 37324-3818
Phone (931) 962-0561

Other identifiers

IdentifierTypeStateIssuer
3709733MedicaidTN

Other providers in Decherd, TN

All providers in Decherd, TN · Family Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.