Williams, Michael Brandon

Williams, Michael Brandon is an individual health care provider with primary practice located at 2151 W Spring St Ste B210 , Monroe GA 30655-3214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Williams, Michael Brandon can be contacted via phone (770) 207-5738.

Contact Information

Primary practice address
2151 W Spring St Ste B210 Monroe GA 30655-3214
Phone: (770) 207-5738
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X S7372 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 84568 Georgia

Profile Details

NPI number 1558781344
LBN Legal business name Williams, Michael Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2014
Last updated Aug 26th, 2022 - 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 1558781344 NPPES
Texas MEDICAID 4145039-01
Texas Other H08NC85001

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