Individual
DR. SAM OLIVER WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3285 HOUSTON AVE, MACON, GA 31206-2342
(478) 784-1572
(478) 784-7150
Mailing address
3285 HOUSTON AVE, MACON, GA 31206-2342
(478) 784-1572
(478) 784-7150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00138091A
—
GA
Enumeration date
08/01/2006
Last updated
07/08/2007
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