Williams, Tina V

Williams, Tina V is an individual health care provider with primary practice located at 6330 Primrose Hill Ct , Norcross GA 30092-4544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Williams, Tina V can be contacted via phone (770) 903-0134.

Contact Information

Primary practice address
6330 Primrose Hill Ct Norcross GA 30092-4544
Phone: (770) 903-0134
Fax: (770) 903-0135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036040 Georgia

Profile Details

NPI number 1053368357
LBN Legal business name Williams, Tina V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Feb 17th, 2016 - about 10 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 1053368357 NPPES
Georgia Other 1609816123 GEORGIA CLINIC, PC GROUP NPI #
Georgia MEDICAID 000731959A GEORGIA CLINIC, PC GROUP NPI #

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