Williams, Michael Anthony

Williams, Michael Anthony is an sole proprietor health care provider with primary practice located at 1604 Meadows Ln , Vidalia GA 30474-8914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Williams, Michael Anthony can be contacted via phone (912) 245-4179.

Contact Information

Primary practice address
1604 Meadows Ln Vidalia GA 30474-8914
Phone: (912) 245-4179
Fax: (912) 403-3346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 38650 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 38650 Georgia

Profile Details

NPI number 1376504647
LBN Legal business name Williams, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated May 17th, 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 1376504647 NPPES
Georgia MEDICAID 00600575C
Georgia MEDICAID 000600575F

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