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Individual

MICHAEL WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3100 CLUB DR, LAWRENCEVILLE, GA 30044-2591
(770) 923-3100
Mailing address
4820 PARKVIEW MINE DR, SUGAR HILL, GA 30518-6232
(404) 210-2295

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001778
GA

Other

Enumeration date
02/16/2024
Last updated
02/16/2024
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