Individual
RAEGAN W WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
960 JOHNSON FERRY RD, STE 500, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Mailing address
960 JOHNSON FERRY RD, STE 500, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5803
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138519B
—
GA
Enumeration date
06/04/2010
Last updated
10/16/2020
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