Provider Demographics
NPI:1801872874
Name:WILLIAMS, JAMES M (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:WILLIAMS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2900 PHARR COURT SOUTH NW
Mailing Address - Street 2:APT. 2105
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-4976
Mailing Address - Country:US
Mailing Address - Phone:912-271-1590
Mailing Address - Fax:404-464-0249
Practice Address - Street 1:1701 HARDEE AVE SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30330-1062
Practice Address - Country:US
Practice Address - Phone:404-464-0018
Practice Address - Fax:404-464-0249
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA18772207R00000X
KY15976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD42366Medicare UPIN