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NPI Code Detail

MEDICARE: GEORGE WILLIAMS LCSW

MEDICARE:   GEORGE  WILLIAMS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW004849GA

General Provider Information

NPI Number : 1104196161
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE WILLIAMS LCSW
Provider Business Mailing Address
First Line : 201 17TH ST NW
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30363-1098
Country : US
Telephone Number : 770-628-7255
Fax Number :
Provider Business Practice Location Address
First Line : 201 17TH ST NW
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30363-1098
Country : US
Telephone Number : 770-628-7255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2012
Last Update Date : 03/18/2017

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Directions to “ GEORGE WILLIAMS LCSW” Practice Location

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