Williams, Chandra Rhodes

Williams, Chandra Rhodes is an individual health care provider with primary practice located at 111 S Belair Rd Suite B, Martinez GA 30907-9110. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Williams, Chandra Rhodes can be contacted via phone (706) 210-1519.

Contact Information

Primary practice address
111 S Belair Rd Suite B Martinez GA 30907-9110
Fax: (706) 210-8081
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 011890 Georgia

Profile Details

NPI number 1508851205
LBN Legal business name Williams, Chandra Rhodes
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 8th, 2007 - about 19 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 1508851205 NPPES
Other 976458 UNITED CONCORDIA
MEDICAID 00793636A UNITED CONCORDIA

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