MEDICARE: IFOR R. WILLIAMS M.D., PH.D.

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	207ZP0101X	Anatomic Pathology Physician	044605	GA
2	207ZI0100X	Immunopathology Physician	044605	GA

General Provider Information

NPI Number	:	1861441214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IFOR R. WILLIAMS M.D., PH.D.

Provider Business Mailing Address
First Line	:	615 MICHAEL ST NE
Second Line	:	WHITEHEAD BIOMEDICAL RESEARCH BLDG., RM. 105-D
City	:	ATLANTA
State	:	GA
Zip	:	30322-1047
Country	:	US
Telephone Number	:	404-727-8547
Fax Number	:	404-727-8538

Provider Business Practice Location Address
First Line	:	615 MICHAEL ST NE
Second Line	:	WHITEHEAD BIOMEDICAL RESEARCH BLDG., RM. 105-D
City	:	ATLANTA
State	:	GA
Zip	:	30322-1047
Country	:	US
Telephone Number	:	404-727-8547
Fax Number	:	404-727-8538

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	09/11/2025

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