Individual
MRS. MELISSA LEWIS WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1303 DANTIGNAC ST, STE 2100, AUGUSTA, GA 30901-2775
(706) 396-0600
(706) 396-0660
Mailing address
4106 COLUMBIA RD, STE 103, MARTINEZ, GA 30907-1450
(706) 863-1440
(706) 863-5418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228745855A
—
GA
Enumeration date
12/16/2010
Last updated
12/16/2010
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