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Individual

JOHN D WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
690 DALLAS HWY STE 203, VILLA RICA, GA 30180-1263
(770) 459-4550
(770) 459-2550
Mailing address
690 DALLAS HWY STE 203, VILLA RICA, GA 30180-1263
(770) 459-4555
(770) 459-2550

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003736
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000921203A
GA
Enumeration date
04/14/2006
Last updated
03/29/2018
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