NPI Code Details Logo

NPI 1588982151

NPI 1588982151 : CHEAU EUGENE WILLIAMS MD : MOULTRIE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588982151
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHEAU EUGENE WILLIAMS MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/06/2010
-----------------------------------------------------
    Last Update Date     |    09/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    115 31ST AVE SE 
-----------------------------------------------------
    City                 |    MOULTRIE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31768-6771
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    229-502-9788
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    115 31ST AVE SE 
-----------------------------------------------------
    City                 |    MOULTRIE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31768-6771
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    229-502-9788
-----------------------------------------------------
    Fax                  |    229-217-4910
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2088F0040X
-----------------------------------------------------
    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
-----------------------------------------------------
    License Number       |    068340
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207V00000X
-----------------------------------------------------
    Taxonomy Name        |    Obstetrics & Gynecology Physician
-----------------------------------------------------
    License Number       |    068340
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.