Williams, Andrew
Williams, Andrew is an sole proprietor health care provider with primary practice located at 192 Olympic Dr , Fayetteville GA 30215-6663. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Williams, Andrew can be contacted via phone (678) 777-1987.Contact Information
Primary practice address
192 Olympic Dr
Fayetteville GA 30215-6663
Phone: (678) 777-1987
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 049829732 | Georgia |
Profile Details
| NPI number | 1275942914 |
|---|---|
| LBN Legal business name | Williams, Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2014 |
| Last updated | Aug 7th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275942914 | NPPES |
| Georgia | MEDICAID | 343900000X |
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