Williams, Wayne
Williams, Wayne is an individual health care provider with primary practice located at 284 Highway 314 Ste E , Fayetteville GA 30214-7832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Williams, Wayne can be contacted via phone (770) 964-0611.Contact Information
Primary practice address
284 Highway 314 Ste E
Fayetteville GA 30214-7832
Phone: (770) 964-0611
Fax: (770) 964-0608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25070 | Georgia |
Profile Details
| NPI number | 1588691612 |
|---|---|
| LBN Legal business name | Williams, Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Aug 19th, 2024 - about 2 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 | 1588691612 | NPPES |
| Georgia | Other | 196692 | BLUE CROSS |
| Georgia | MEDICAID | 000272379Y | BLUE CROSS |
| Georgia | Other | 009989195 | BLUE CROSS |
| Georgia | Other | P00202509 | BLUE CROSS |
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