Individual
DR. RENEE ELIZABETH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4875 ALTAMA AVE, BRUNSWICK, GA 31520-2912
(912) 554-0010
(912) 554-0075
Mailing address
400 S LOOP 336 W, CONROE, TX 77304-3302
(936) 539-4500
(936) 539-4050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8123-T
TX
152W00000X
Optometrist
Primary
OPT002279
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786573174A
—
GA
05
—
786573174B
—
GA
01
—
P00294702
RR MEDICARE
GA
Enumeration date
01/18/2006
Last updated
07/26/2022
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