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NPI Code Detail

MEDICARE: DR. INDIA C. WILLIAMS M.D.

MEDICARE:  DR. INDIA C. WILLIAMS  M.D.
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
1207Q00000XFamily Medicine Physician061187GA

Other Identifiers

General Provider Information

NPI Number : 1326022492
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INDIA C. WILLIAMS M.D.
Provider Business Mailing Address
First Line : 401 PERMIAN WAY
Second Line : SUITE A
City : VILLA RICA
State : GA
Zip : 30180-3253
Country : US
Telephone Number : 678-840-4034
Fax Number : 678-840-4035
Provider Business Practice Location Address
First Line : 401 PERMIAN WAY
Second Line : SUITE A
City : VILLA RICA
State : GA
Zip : 30180-3253
Country : US
Telephone Number : 678-840-4034
Fax Number : 678-840-4035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 09/07/2011

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Directions to “ DR. INDIA C. WILLIAMS M.D.” Practice Location

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