Individual
DR. MITCHELL TODD WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 PROFESSIONAL DRIVE, SUITE 110, LAWRENCEVILLE, GA 30046-7638
(770) 995-0555
(770) 995-0682
Mailing address
600 PROFESSIONAL DRIVE, SUITE 110, LAWRENCEVILLE, GA 30046-7638
(770) 995-0555
(770) 995-0682
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
035789
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000598012A
—
GA
Enumeration date
08/03/2005
Last updated
10/07/2011
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