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NPI Code Detail

MEDICARE: MRS. APRIL LYNETTE WILLIAMS

MEDICARE:  MRS. APRIL LYNETTE WILLIAMS
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1902457138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. APRIL LYNETTE WILLIAMS
Provider Business Mailing Address
First Line : 3264 NORTHSIDE PKWY NW
Second Line :
City : ATLANTA
State : GA
Zip : 30327-2245
Country : US
Telephone Number : 470-601-7810
Fax Number :
Provider Business Practice Location Address
First Line : 161 CECIL B MOORE AVE
Second Line : SUITE 204
City : PHILADELPHIA
State : PA
Zip : 19122-3243
Country : US
Telephone Number : 215-585-2144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2019
Last Update Date : 07/03/2025

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Directions to “ MRS. APRIL LYNETTE WILLIAMS ” Practice Location

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