MEDICARE: DENNIS A WILLIAMS MD

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
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	GA38402	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1235131525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS A WILLIAMS MD

Provider Business Mailing Address
First Line	:	4409 EVANS TO LOCKS RD
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-3603
Country	:	US
Telephone Number	:	706-396-7671
Fax Number	:	706-396-7676

Provider Business Practice Location Address
First Line	:	4409 EVANS TO LOCKS RD
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-3603
Country	:	US
Telephone Number	:	706-396-7671
Fax Number	:	706-396-7676

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/26/2024

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Directions to “ DENNIS A WILLIAMS MD” Practice Location

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