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NPI Code Detail

MEDICARE: MR. RALPH BERNARD WILLLIAMS M.A., M.S., LAPC

MEDICARE:  MR. RALPH BERNARD WILLLIAMS  M.A., M.S., LAPC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorAPC002823GA

General Provider Information

NPI Number : 1538451083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RALPH BERNARD WILLLIAMS M.A., M.S., LAPC
Provider Business Mailing Address
First Line : 2691 OSWOOD DR
Second Line :
City : TUCKER
State : GA
Zip : 30084-2840
Country : US
Telephone Number : 770-856-3011
Fax Number :
Provider Business Practice Location Address
First Line : 6188 HIGHWAY 42
Second Line :
City : REX
State : GA
Zip : 30273-1028
Country : US
Telephone Number : 770-856-3011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2011
Last Update Date : 05/03/2011

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Directions to “ MR. RALPH BERNARD WILLLIAMS M.A., M.S., LAPC” Practice Location

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