Individual
MRS. DOROTIA H WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2906 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6503
(706) 868-8686
(706) 868-8643
Mailing address
2906 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6503
(706) 868-8686
(706) 868-8643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10065233
AMERIGROUP
GA
01
—
308959
WELLCARE
GA
Enumeration date
11/02/2006
Last updated
07/09/2007
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