Michael Brandon Williams, MD | |
2151 W Spring St Ste B210, Monroe, GA 30655-3214 | |
(770) 207-5738 | |
Not Available |
Full Name | Michael Brandon Williams |
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Gender | Male |
Speciality | Surgery |
Location | 2151 W Spring St Ste B210, Monroe, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558781344 | NPI | - | NPPES |
4145039-01 | Medicaid | TX | |
H08NC85001 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | S7372 (Texas) | Secondary |
208600000X | Surgery | 84568 (Georgia) | Primary |
Entity Name | Christus Trinity Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Entity Name | University Of Texas Rio Grande Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477960730 PECOS PAC ID: 3577885276 Enrollment ID: O20141209000376 |
Mailing Address | Practice Location Address |
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Michael Brandon Williams, MD 1614 Lila Beth Ln, Mission, TX 78572-3188 Ph: () - | Michael Brandon Williams, MD 2151 W Spring St Ste B210, Monroe, GA 30655-3214 Ph: (770) 207-5738 |
Dr. Richard Keith Jacob Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 Fax: 770-266-7346 | |
Dr. Nathaniel Leon Hill Ii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 Fax: 770-266-7346 | |
Dr. Rosemary Chickos, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 Fax: 770-266-7346 | |
Dr. Cesar Medalla Delima, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 Alcovy Street, Suite 10, Monroe, GA 30655 Phone: 770-267-2790 Fax: 770-207-0652 |