Williams, Misty Leigh
Williams, Misty Leigh is an individual health care provider with primary practice located at 2415 Parkwood Dr. , Brunswick GA 31520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Williams, Misty Leigh can be contacted via phone (912) 466-7188.Contact Information
Primary practice address
2415 Parkwood Dr.
Brunswick GA 31520
Phone: (912) 466-7188
Fax: (843) 237-5073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0064741 | Maryland |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 063051 | Georgia |
Profile Details
| NPI number | 1932116209 |
|---|---|
| LBN Legal business name | Williams, Misty Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 6th, 2017 - about 9 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 | 1932116209 | NPPES |
| Maryland | MEDICAID | 411055200 | |
| Maryland | Other | 89031201 | |
| Maryland | Other | 0024 | |
| Maryland | Other | P00341246 | |
| Maryland | MEDICAID | 3810005966 |
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