Healthcare Provider Details

I. General information

NPI: 1447243043
Provider Name (Legal Business Name): QUINTESSA BRITTON-WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 07/15/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 ANDREWS AVENUE, BUILDING 301
FORT RUCKER AL
36362
US

IV. Provider business mailing address

1061 HARMON AVE SUITE 1DO3
FORT STEWART GA
31314-5604
US

V. Phone/Fax

Practice location:
  • Phone: 334-255-7743
  • Fax:
Mailing address:
  • Phone: 912-435-6979
  • Fax: 912-435-6706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number054556
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: