Individual
BARBARA BOSTWICK WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1523 FAIR RD, STATESBORO, GA 30458-6025
(912) 871-2000
(912) 871-2500
Mailing address
PO BOX 1958, STATESBORO, GA 30459-1958
(912) 871-2000
(912) 871-2500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
049353
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01394192
AMERIGROUP
GA
05
—
428778302D
—
GA
05
—
428778302I
—
GA
Enumeration date
08/09/2005
Last updated
05/20/2011
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