Williams, India C.

Williams, India C. is an individual health care provider with primary practice located at 401 Permian Way Suite A, Villa Rica GA 30180-3253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Williams, India C. can be contacted via phone (678) 840-4034.

Contact Information

Primary practice address
401 Permian Way Suite A Villa Rica GA 30180-3253
Phone: (678) 840-4034
Fax: (678) 840-4035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 061187 Georgia

Profile Details

NPI number 1326022492
LBN Legal business name Williams, India C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 7th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326022492 NPPES
Mississippi MEDICAID 01426811
Mississippi MEDICAID 622072705D

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