Williams, Teresa Diane

Williams, Teresa Diane is an individual health care provider with primary practice located at 105 Willowbrook Way Se , Calhoun GA 30701-1404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Williams, Teresa Diane can be contacted via phone (706) 625-6999.

Contact Information

Primary practice address
105 Willowbrook Way Se Calhoun GA 30701-1404
Fax: (706) 625-6990
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN107543 Georgia

Profile Details

NPI number 1437298742
LBN Legal business name Williams, Teresa Diane
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jan 3rd, 2019 - about 7 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 1437298742 NPPES
Georgia MEDICAID 428677375F

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