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General NPI Number Information
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NPI Number | 1073567061
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Entity Type | Individual
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Provider Name | MICHAEL DONALD WILLIAMS M. D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 5755 N POINT PKWY SUITE 223
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City | ALPHARETTA
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State | GA
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Zip | 30022-1171
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Country | US
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Telephone | 770-500-3660
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Fax | 770-500-3664
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Provider Business Mailing Address
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Address Line | 5755 N POINT PKWY SUITE 223
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City | ALPHARETTA
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State | GA
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Zip | 30022-1171
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Country | US
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Telephone | 770-500-3660
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Fax | 770-500-3664
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 51419
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License Number State | GA
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