Provider Demographics
NPI:1134280704
Name:WILLIAMS, CLAIRE SAMANTHA (BA, BS)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:SAMANTHA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 YOUNGS MILL RD
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31719-8906
Mailing Address - Country:US
Mailing Address - Phone:229-944-0083
Mailing Address - Fax:229-928-8568
Practice Address - Street 1:601 YOUNGS MILL RD
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31719-8906
Practice Address - Country:US
Practice Address - Phone:229-944-0083
Practice Address - Fax:229-928-8568
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator