Healthcare Provider Details

I. General information

NPI: 1093916215
Provider Name (Legal Business Name): ANGELA ROSE PIERRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA ROSE MCWILLIAMS MD

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

450 NORTHSIDE CHEROKEE BLVD
CANTON GA
30115-8015
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-8917
  • Fax: 404-303-3636
Mailing address:
  • Phone: 770-224-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number98502
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: