Williamson, Mitchell Todd

Williamson, Mitchell Todd is an individual health care provider with primary practice located at 600 Professional Drive Suite 110, Lawrenceville GA 30046-7638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Williamson, Mitchell Todd can be contacted via phone (770) 995-0555.

Contact Information

Primary practice address
600 Professional Drive Suite 110 Lawrenceville GA 30046-7638
Phone: (770) 995-0555
Fax: (770) 995-0682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 035789 Georgia

Profile Details

NPI number 1790786473
LBN Legal business name Williamson, Mitchell Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Oct 7th, 2011 - about 15 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 1790786473 NPPES
Georgia MEDICAID 000598012A

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