Individual
MS. MICHELLE M WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4475 W VILLAGE PKWY, ELLENWOOD, GA 30294-2869
(770) 507-7950
(716) 710-8082
Mailing address
7830 BLEUSPARROW DR, FAIRBURN, GA 30213-6541
(678) 665-5175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2314
GA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/28/2006
Last updated
12/28/2023
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