MEDICARE: BRITTANY WILLIAMS DC

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	111N00000X	Chiropractor	CHIR009191	GA

General Provider Information

NPI Number	:	1992171094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY WILLIAMS DC

Provider Business Mailing Address
First Line	:	PO BOX 325
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-0325
Country	:	US
Telephone Number	:	770-979-2225
Fax Number	:	770-979-8348

Provider Business Practice Location Address
First Line	:	1580 TREE LN
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-2207
Country	:	US
Telephone Number	:	770-979-2225
Fax Number	:

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

Provider Enumeration Date	:	08/12/2015
Last Update Date	:	08/12/2015

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