Provider Demographics
NPI:1407846561
Name:WILLIAMS, W. HAMILTON III (MD)
Entity Type:Individual
Prefix:DR
First Name:W.
Middle Name:HAMILTON
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2864 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-5635
Mailing Address - Country:US
Mailing Address - Phone:770-693-6022
Mailing Address - Fax:770-693-6039
Practice Address - Street 1:1000 JOHNSON FERRY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1606
Practice Address - Country:US
Practice Address - Phone:404-851-8850
Practice Address - Fax:404-851-6010
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0360412085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA461790349DMedicaid
GA461790349FMedicaid
GA461790349GMedicaid
GA00508659CMedicaid
GA461790349EMedicaid
GA92BBGCFOtherMEDICARE
GA92BBFXWMedicare PIN
GA00508659CMedicaid