Individual
DR. THOMAS MICHAEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
500 E ALICE ST, BAINBRIDGE, GA 39819-4998
(229) 246-9525
(229) 246-9514
Mailing address
19874 STATE ROAD 71 N, BLOUNTSTOWN, FL 32424-6609
(229) 246-9525
(229) 246-9514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA002083
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466706497A
—
GA
Enumeration date
11/21/2006
Last updated
07/08/2007
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