Williams, Stephen

Williams, Stephen is an individual health care provider with primary practice located at 1603 Highway 20 Ne Suite 201, Conyers GA 30012-3736. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Williams, Stephen can be contacted via phone (770) 929-8411.

Contact Information

Primary practice address
1603 Highway 20 Ne Suite 201 Conyers GA 30012-3736
Phone: (770) 929-8411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X GAA001107 Georgia

Profile Details

NPI number 1265501514
LBN Legal business name Williams, Stephen
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1265501514 NPPES
Georgia Other GAA001107 STATE LISC NUMBER

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