Provider Demographics
NPI:1538319058
Name:WILLIAMS, GAYE
Entity Type:Individual
Prefix:
First Name:GAYE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31719-2220
Mailing Address - Country:US
Mailing Address - Phone:229-942-5765
Mailing Address - Fax:
Practice Address - Street 1:520 W BROAD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-2468
Practice Address - Country:US
Practice Address - Phone:229-639-0477
Practice Address - Fax:229-639-0478
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker