Individual
MICHAEL BRANDON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2151 W SPRING ST STE B210, MONROE, GA 30655-3214
(770) 207-5738
Mailing address
1614 LILA BETH LN, MISSION, TX 78572-3188
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
84568
GA
208600000X
Surgery Physician
S7372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4145039-01
—
TX
01
—
H08NC85001
BCBS
TX
Enumeration date
04/21/2014
Last updated
08/26/2022
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