MEDICARE: BRITTNEY WILLIAMS

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	163WA2000X	Administrator Registered Nurse	273041737	GA

General Provider Information

NPI Number	:	1396162459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY WILLIAMS

Provider Business Mailing Address
First Line	:	460 AUBURN AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-1504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 AUBURN AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-1504
Country	:	US
Telephone Number	:	404-523-1613
Fax Number	:	404-681-4536

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

Provider Enumeration Date	:	03/26/2014
Last Update Date	:	03/26/2014

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Directions to “ BRITTNEY WILLIAMS ” Practice Location

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