Provider Demographics
NPI:1083103782
Name:WILLIAMS, ANNA H (PA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:H
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:213 MIMS ROAD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:GA
Mailing Address - Zip Code:30467-3234
Mailing Address - Country:US
Mailing Address - Phone:912-303-7729
Mailing Address - Fax:912-564-2174
Practice Address - Street 1:213 MIMS RD
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:GA
Practice Address - Zip Code:30467-3234
Practice Address - Country:US
Practice Address - Phone:912-303-7729
Practice Address - Fax:912-564-2174
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA8763363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical