Williams, Antonia R
Williams, Antonia R is an individual health care provider with primary practice located at 435 Arrowhead Blvd , Jonesboro GA 30236-1219. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Williams, Antonia R can be contacted via phone (404) 389-1950.Contact Information
Primary practice address
435 Arrowhead Blvd
Jonesboro GA 30236-1219
Phone: (404) 389-1950
Fax: (678) 444-4152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN012676 | Georgia |
Profile Details
| NPI number | 1114992724 |
|---|---|
| LBN Legal business name | Williams, Antonia R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2006 |
| Last updated | Oct 6th, 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 | 1114992724 | NPPES |
| Georgia | MEDICAID | 616035323A | |
| Georgia | MEDICAID | 9180173 |
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