Individual
MR. HOWARD JAMIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15 MEDICAL DR NE STE 101, CARTERSVILLE, GA 30121
(770) 386-5221
(770) 386-1128
Mailing address
15 MEDICAL DR NE STE 101, CARTERSVILLE, GA 30121-8005
(770) 386-5221
(770) 382-2794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003775
GA
363AS0400X
Surgical Physician Assistant
Primary
003775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198866572A
—
GA
01
—
97BBHFR
MEDICARE PTAN
GA
Enumeration date
10/20/2005
Last updated
06/07/2018
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