Williams, Roger Alan
Williams, Roger Alan is an individual health care provider with primary practice located at 655 First Street , Macon GA 31201. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Williams, Roger Alan can be contacted via phone (478) 301-5930.Contact Information
Primary practice address
655 First Street
Macon GA 31201
Phone: (478) 301-5930
Fax: (478) 301-5932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY001108 | Georgia |
Profile Details
| NPI number | 1679655922 |
|---|---|
| LBN Legal business name | Williams, Roger Alan |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 30th, 2014 - about 11 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 | 1679655922 | NPPES |
| Georgia | Other | 680006605 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000342933A | RAILROAD MEDICARE |
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