Individual provider · Type 1 NPI

Thomas James Williams, NP-C

Gerontology Nurse Practitioner · Valdosta, GA

NPI number 1639627029 Active

Practice location

101 W Northside Dr
Valdosta, GA 31602-1714

Mailing address

4210 Brushy Creek Rd
Sparks, GA 31647-4106

Other practice locations

  • 2209 Pineview Dr, Valdosta, GA 31602-7316 · (229) 236-0831

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN128779 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1639627029

Thomas James Williams, NP-C's National Provider Identifier is 1639627029, issued on Sep 14, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Valdosta, GA. The record was last updated on Jul 21, 2026.