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Individual

DR. PETE D WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
743 SPRING STREET, GAINESVILLE, GA 30501-3175
(770) 219-6018
(770) 219-6021
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
059940
GA
208M00000X
Hospitalist Physician
Primary
59940
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202I113323
MEDICARE PTAN
GA
05
831842125G
GA
Enumeration date
10/13/2006
Last updated
02/04/2021
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