Individual
JACQUES R. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8415 CAMPBELLTON ST, DOUGLASVILLE, GA 30134-1876
(770) 942-4899
(770) 942-4859
Mailing address
8415 CAMPBELLTON ST, DOUGLASVILLE, GA 30134-1876
(770) 942-4899
(770) 942-4859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013290
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660354
—
MS
Enumeration date
10/16/2006
Last updated
07/11/2022
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