Williams, Michael Anthony
Williams, Michael Anthony is an sole proprietor health care provider with primary practice located at 1604 Meadows Ln , Vidalia GA 30474-8914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Williams, Michael Anthony can be contacted via phone (912) 245-4179.Contact Information
Primary practice address
1604 Meadows Ln
Vidalia GA 30474-8914
Phone: (912) 245-4179
Fax: (912) 403-3346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 38650 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 38650 | Georgia |
Profile Details
| NPI number | 1376504647 |
|---|---|
| LBN Legal business name | Williams, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | May 17th, 2021 - about 3 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 | 1376504647 | NPPES |
| Georgia | MEDICAID | 00600575C | |
| Georgia | MEDICAID | 000600575F |
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