Williams, Melvin D
Williams, Melvin D is an sole proprietor health care provider with primary practice located at 125 Medical Blvd , Stockbridge GA 30281-5083. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Williams, Melvin D can be contacted via phone (770) 957-6117.Contact Information
Primary practice address
125 Medical Blvd
Stockbridge GA 30281-5083
Phone: (770) 957-6117
Fax: (770) 389-5602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 001322 | Georgia |
Profile Details
| NPI number | 1679646459 |
|---|---|
| LBN Legal business name | Williams, Melvin D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1679646459 | NPPES |
| Georgia | Other | 52278575-005 | BCBS OF GA PROVIDER # |
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