Provider Demographics
NPI:1487646683
Name:DAVIS-WILLIAMS, E CAMILLE (MD)
Entity Type:Individual
Prefix:
First Name:E
Middle Name:CAMILLE
Last Name:DAVIS-WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 1470
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2247
Mailing Address - Country:US
Mailing Address - Phone:404-589-2670
Mailing Address - Fax:404-589-2671
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:SUITE 1470
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2242
Practice Address - Country:US
Practice Address - Phone:404-589-2670
Practice Address - Fax:404-589-2671
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA25137207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000308998BMedicaid
GA000308998BMedicaid