MEDICARE: GEORGE ANDREW WILLIAMS MD

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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	061819	MI
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	MD60187949	WA
3	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	MD60187949	WA
4	207P00000X	Emergency Medicine Physician	MD60187949	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GW061819	OTHER	MI	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144273517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE ANDREW WILLIAMS MD

Provider Business Mailing Address
First Line	:	5709 W LOVERS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-5115
Country	:	US
Telephone Number	:	469-913-8940
Fax Number	:	214-366-0752

Provider Business Practice Location Address
First Line	:	5709 W LOVERS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-5115
Country	:	US
Telephone Number	:	469-913-8940
Fax Number	:	214-366-0752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	03/23/2022

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Directions to “ GEORGE ANDREW WILLIAMS MD” Practice Location

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