MR. PA-C John Richard Williams I, NPI 1396141974
Surgical Physician Assistant in Gainesville, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1396141974
NPI Entity Type Individual
Provider Name MR. PA-C John Richard Williams I
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 655 Jesse Jewell Pkwy Se, Suite B, Gainesville, GA, US
Provider Mailing Address Po Box 658, Gainesville, GA, US, 305030658
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363AS0400X

Taxonomy Name Surgical Physician Assistant
Classification

Physician Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 007425
License State GA
Description Definition to come...

Business Address

MR. PA-C John Richard Williams I
655 Jesse Jewell Pkwy Se
Suite B

Gainesville, GA, US

Phone: 770-532-7092
Fax: 770-536-0383

Mailing Address

MR. PA-C John Richard Williams I
Po Box 658
Gainesville, GA, US
ZIP 305030658
Phone: 770-718-1122
Fax: 770-533-4786

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363A00000X

Physician Assistants & Advanced Practice Nursing Providers

Physician Assistant

7425 GA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
06705493 GA AMERIGROUP 01
1819077 GA WELLCARE 01
003153646H GA MEDICAID 05
003153646K GA MEDICAID 05
003153646G GA MEDICAID 05
003153646J GA MEDICAID 05
003153646I GA MEDICAID 05
003153646L GA MEDICAID 05

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NPI Name Taxonomy Address

1386307460

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Organization

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Organization

Internal Medicine Physician

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DR. DO Colette Devona Bullock

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FNP-BC Priyanka Patel

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Organization

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LDO Anna Mccaskill

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1710602180

MSHA, BSN, RN, CPN Madlina Jonassaint

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FNP-C Sandra Nicole Mcneal

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Georgia Department Of Behavioral Health And Developmental Disabilities

Organization

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1780309146

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Columbus, GA

1801511258

Atlanta Hand Therapy, Llc

Organization

Hand Occupational Therapist

6115 Peachtree Dunwoody Rd Ste 210

Sandy Springs, GA

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