Provider Demographics
NPI:1003028044
Name:WILLIAMS, GEORGE H (PHD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:H
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LENOX POINTE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3032
Mailing Address - Country:US
Mailing Address - Phone:404-264-9797
Mailing Address - Fax:404-264-0743
Practice Address - Street 1:34 LENOX POINTE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3032
Practice Address - Country:US
Practice Address - Phone:404-264-9797
Practice Address - Fax:404-264-0743
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA700103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling