| Amanda E. Williams, M.d., Inc. | |
|
5555 Glenridge Connector Ste 200 Atlanta GA 30342-4815 | |
| (470) 575-4321 | |
| (469) 281-0986 |
| Full Name | Amanda E. Williams, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5555 Glenridge Connector Ste 200, Atlanta, Georgia |
| Authorized Official Name and Position | Amanda E Williams (PRESIDENT) |
| Authorized Official Contact | 4705754321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda E. Williams, M.d., Inc. 5555 Glenridge Connector Ste 200 Atlanta GA 30342-4815 Ph: (470) 575-4321 | Amanda E. Williams, M.d., Inc. 5555 Glenridge Connector Ste 200 Atlanta GA 30342-4815 Ph: (470) 575-4321 |
| NPI Number | 1144554304 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 04/08/2021 |
| Certification Date | 03/18/2021 |
| Medicare PECOS PAC ID | 0446306153 |
|---|---|
| Medicare Enrollment ID | O20090922000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144554304 | NPI | - | NPPES |
| 2328270 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 063049 (Georgia) | Primary |
| Provider Name | Amanda Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124005285 PECOS PAC ID: 1254379563 Enrollment ID: I20090922000549 |
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