MEDICARE: DR. ANNA J WILLIAMS PHD

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	103T00000X	Psychologist	701	GA

General Provider Information

NPI Number	:	1598756603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA J WILLIAMS PHD

Provider Business Mailing Address
First Line	:	195 WINTERSETT PL
Second Line	:
City	:	WINTERVILLE
State	:	GA
Zip	:	30683-2907
Country	:	US
Telephone Number	:	706-742-8894
Fax Number	:

Provider Business Practice Location Address
First Line	:	1751 S LUMPKIN ST
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-4740
Country	:	US
Telephone Number	:	706-546-6937
Fax Number	:	706-354-8904

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	01/26/2011

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