Individual
ANDREW WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 OLYMPIC DR, FAYETTEVILLE, GA 30215-6663
(678) 777-1987
Mailing address
192 OLYMPIC DR, FAYETTEVILLE, GA 30215-6663
(678) 777-1987
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
049829732
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343900000X
—
GA
Enumeration date
08/07/2014
Last updated
08/07/2014
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