Provider Demographics
NPI:1902085632
Name:DOCTORS WILLIAMS AND WOODS, PC
Entity Type:Organization
Organization Name:DOCTORS WILLIAMS AND WOODS, PC
Other - Org Name:ATLANTA INTERNAL MEDICINE, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-524-6887
Mailing Address - Street 1:315 BOULEVARD NE
Mailing Address - Street 2:SUITE 428
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1200
Mailing Address - Country:US
Mailing Address - Phone:404-524-6887
Mailing Address - Fax:404-524-4967
Practice Address - Street 1:315 BOULEVARD NE
Practice Address - Street 2:SUITE 428
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1200
Practice Address - Country:US
Practice Address - Phone:404-524-6887
Practice Address - Fax:404-524-4967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA013102174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD42187Medicare UPIN