Williams, Mitzi Joi

Williams, Mitzi Joi is an individual health care provider with primary practice located at 767 Concord Rd Se Ste B , Smyrna GA 30082-2625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Williams, Mitzi Joi can be contacted via phone (404) 383-0845.

Contact Information

Primary practice address
767 Concord Rd Se Ste B Smyrna GA 30082-2625
Fax: (404) 383-0906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 000492 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 60632 Georgia

Profile Details

NPI number 1356461248
LBN Legal business name Williams, Mitzi Joi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Apr 1st, 2021 - about 4 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 1356461248 NPPES
Georgia MEDICAID 429169668B

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