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NPI Code Detail

MEDICARE: DEBORAH ANN WILLIAMS RN

MEDICARE: DEBORAH ANN WILLIAMS RN
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
1163W00000XRegistered NurseRN102731GA

General Provider Information

NPI Number : 1538248836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN WILLIAMS RN
Provider Business Mailing Address
First Line : 697 GARY RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30318-6266
Country : US
Telephone Number : 404-936-7337
Fax Number : 404-799-6666
Provider Business Practice Location Address
First Line : 440 WINN WAY
Second Line :
City : DECATUR
State : GA
Zip : 30030-1715
Country : US
Telephone Number : 404-508-7785
Fax Number : 404-508-7879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/08/2007

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