Willis, Kamili J
Willis, Kamili J is an individual health care provider with primary practice located at 3050 Martin Luther King Jr Dr Sw , Atlanta GA 30311-1500. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Willis, Kamili J can be contacted via phone (404) 696-3163.Contact Information
Primary practice address
3050 Martin Luther King Jr Dr Sw
Atlanta GA 30311-1500
Phone: (404) 696-3163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN013181 | Georgia |
Profile Details
| NPI number | 1609841204 |
|---|---|
| LBN Legal business name | Willis, Kamili J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1609841204 | NPPES |
| Georgia | MEDICAID | 9180182 |
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