Provider Demographics
NPI:1538333232
Name:WILLIAMS, ANNA GOYNES (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:GOYNES
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 WHITE CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:CARRIERE
Mailing Address - State:MS
Mailing Address - Zip Code:39426-2709
Mailing Address - Country:US
Mailing Address - Phone:601-798-1218
Mailing Address - Fax:
Practice Address - Street 1:215 TELLY RD
Practice Address - Street 2:
Practice Address - City:PICAYUNE
Practice Address - State:MS
Practice Address - Zip Code:39466-5363
Practice Address - Country:US
Practice Address - Phone:601-799-4065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT3897225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist