Individual
ROGER ALAN WILLIAMS
Active
Individual
ROGER ALAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001108
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000342933A
—
GA
01
—
680006605
RAILROAD MEDICARE
GA
Enumeration date
10/19/2006
Last updated
10/30/2014
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