Individual
DR. GREGORY SCOTT WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
179 HANDLEY RD, SUITE C, TYRONE, GA 30290-2154
(770) 486-1020
(770) 486-1280
Mailing address
179 HANDLEY RD, SUITE C, TYRONE, GA 30290-2154
(770) 486-1020
(770) 486-1280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00425972B
—
GA
Enumeration date
12/04/2006
Last updated
10/04/2011
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