NPI Code Detail JSON Logo

1942580493 NPI number — GAYNELL WILLIAMS GEORGE RPH

NPI Number: 1942580493
Health Care Provider/Practitioner: GAYNELL WILLIAMS GEORGE RPH

Information about “1942580493” NPI (GAYNELL WILLIAMS GEORGE RPH) exists in 1942580493 in HTML format HTML  |  1942580493 in plain Text format TXT  |  1942580493 in PDF (Portable Document Format) PDF  |  1942580493 in an XML format XML  formats.

NPI Number : 1942580493 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942580493",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GEORGE",
    "FirstName": "GAYNELL",
    "MiddleName": "WILLIAMS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLIAMS",
    "OtherFirstName": "GAYNELL",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5147 LAKECOVE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOUGLASVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30135-7656",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "504-621-9774",
    "MailingAddressFaxNumber": "678-391-2851",
    "FirstLinePracticeLocationAddress": "9465 HIGHWAY 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOUGLASVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30135-1509",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-715-8494",
    "PracticeLocationAddressFaxNumber": "678-715-8504",
    "EnumerationDate": "08/27/2011",
    "LastUpdateDate": "08/27/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "RPH022934",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "13480",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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