Individual
DR. MINNETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(770) 991-2100
(770) 991-1385
Mailing address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(770) 991-2100
(770) 991-1385
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2004021615
MO
207RC0000X
Cardiovascular Disease Physician
Primary
62632
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
062632
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880399518A
—
GA
Enumeration date
04/16/2007
Last updated
02/13/2024
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