Individual
AMANDA ELIZABETH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5555 GLENRIDGE CONNECTOR STE 200, ATLANTA, GA 30342-4815
(470) 575-4321
(469) 281-0986
Mailing address
5555 GLENRIDGE CONNECTOR STE 200, ATLANTA, GA 30342-4815
(470) 575-4321
(469) 281-0986
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
63049
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144401464
PRACTICE LOCATION NPI GROUP NUMBER
OH
01
—
1841239274
MEDICARE NPI GROUP NUMBER
OH
05
—
2328270
—
OH
01
—
2774985
MEDICAID GROUP NUMBER
OH
01
—
9338635
MEDICARE GROUP NUMBER
OH
Enumeration date
12/29/2005
Last updated
04/05/2021
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