Provider Demographics
NPI:1316366289
Name:WILLIAMS, MOLLY PADGETT (PA)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:PADGETT
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:900 CIRCLE 75 PKWY SE STE 1700
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3087
Mailing Address - Country:US
Mailing Address - Phone:770-953-6929
Mailing Address - Fax:770-953-6972
Practice Address - Street 1:3929 PEACHTREE RD NE STE 250
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-3374
Practice Address - Country:US
Practice Address - Phone:404-352-1053
Practice Address - Fax:404-350-0840
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2022-11-16
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Provider Licenses
StateLicense IDTaxonomies
ALPA.962363A00000X
GA10575363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant