Individual
TANYA F WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-AA
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217-8001
(478) 746-5644
(478) 745-4849
Mailing address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217-8001
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004633
GA LIC
GA
Enumeration date
02/09/2006
Last updated
02/10/2017
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