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NPI Code Detail

MEDICARE: AMANDA E. WILLIAMS, M.D., INC.

MEDICARE: AMANDA E. WILLIAMS, M.D., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician063049GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144554304
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMANDA E. WILLIAMS, M.D., INC.
Provider Business Mailing Address
First Line : 5555 GLENRIDGE CONNECTOR STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4815
Country : US
Telephone Number : 470-575-4321
Fax Number : 469-281-0986
Provider Business Practice Location Address
First Line : 5555 GLENRIDGE CONNECTOR STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4815
Country : US
Telephone Number : 470-575-4321
Fax Number : 469-281-0986
Authorized Official
Title or Position : PRESIDENT
Name : DR. AMANDA E WILLIAMS
Credential : M.D.
Telephone Number : 470-575-4321
Provider Enumeration Date : 09/21/2009
Last Update Date : 04/08/2021

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