Williams, Misty Leigh

Williams, Misty Leigh is an individual health care provider with primary practice located at 2415 Parkwood Dr. , Brunswick GA 31520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Williams, Misty Leigh can be contacted via phone (912) 466-7188.

Contact Information

Primary practice address
2415 Parkwood Dr. Brunswick GA 31520
Fax: (843) 237-5073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0064741 Maryland
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 063051 Georgia

Profile Details

NPI number 1932116209
LBN Legal business name Williams, Misty Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Apr 6th, 2017 - about 7 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 1932116209 NPPES
Maryland MEDICAID 411055200
Maryland Other 89031201
Maryland Other 0024
Maryland Other P00341246
Maryland MEDICAID 3810005966

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