Williams, Minnette
Williams, Minnette is an individual health care provider with primary practice located at 6507 Professional Pl , Riverdale GA 30274-4941. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Williams, Minnette can be contacted via phone (770) 991-2100.Contact Information
Primary practice address
6507 Professional Pl
Riverdale GA 30274-4941
Phone: (770) 991-2100
Fax: (770) 991-1385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2004021615 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 062632 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 62632 | Georgia |
Profile Details
| NPI number | 1376768259 |
|---|---|
| LBN Legal business name | Williams, Minnette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Feb 13th, 2024 - about last year |
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 | 1376768259 | NPPES |
| Georgia | MEDICAID | 880399518A |
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