Individual
DR. INDIA C. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 PERMIAN WAY, SUITE A, VILLA RICA, GA 30180-3253
(678) 840-4034
(678) 840-4035
Mailing address
401 PERMIAN WAY, SUITE A, VILLA RICA, GA 30180-3253
(678) 840-4034
(678) 840-4035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061187
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01426811
—
MS
05
—
622072705D
—
GA
Enumeration date
12/02/2005
Last updated
09/07/2011
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