Provider Demographics
NPI:1023743085
Name:COMPLETE CONCIERGE CARE MEDICAL OF
Entity type:Organization
Organization Name:COMPLETE CONCIERGE CARE MEDICAL OF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-244-9300
Mailing Address - Street 1:5215 LOUGHBORO RD NW STE 310
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2626
Mailing Address - Country:US
Mailing Address - Phone:202-244-9300
Mailing Address - Fax:202-244-9301
Practice Address - Street 1:5215 LOUGHBORO RD NW STE 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2626
Practice Address - Country:US
Practice Address - Phone:202-244-9300
Practice Address - Fax:202-244-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-22
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty