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General NPI Number Information
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NPI Number | 1710036652
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Entity Type | Individual
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Provider Name | MONICA J.R. WILLIAMS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 4424 HUGH HOWELL RD STE D
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City | TUCKER
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State | GA
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Zip | 30084-4905
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Country | US
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Telephone | 404-692-4466
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Fax | 844-572-7080
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Provider Business Mailing Address
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Address Line | 4424 HUGH HOWELL RD STE D
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City | TUCKER
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State | GA
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Zip | 30084-4905
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Country | US
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Telephone | 404-692-4466
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Fax | 844-572-7080
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K8908
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 205424
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 82134
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License Number State | GA
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