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Individual

MRS. AMY J WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
416 HOOPER ST SE, ATLANTA, GA 30317-3417
(404) 428-8071
(678) 623-0214
Mailing address
PO BOX 17805, ATLANTA, GA 30316-0805
(404) 428-8071
(678) 623-0214

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006817
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000869811-B
GA
Enumeration date
11/13/2006
Last updated
12/16/2021
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