Healthcare Provider Details

I. General information

NPI: 1689121865
Provider Name (Legal Business Name): RICHARD WILLIAMS LMT, CNMT, C.HT.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2016
Last Update Date: 09/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 BUFORD HWY NE SUITE 700
ATLANTA GA
30324-3207
US

IV. Provider business mailing address

2751 BUFORD HWY NE SUITE 700
ATLANTA GA
30324-3207
US

V. Phone/Fax

Practice location:
  • Phone: 877-500-0044
  • Fax:
Mailing address:
  • Phone: 877-500-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: