Provider Demographics
NPI:1609324631
Name:WILLIAMS, MARGARET RENE (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:RENE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 CASSVILLE WHITE RD NE
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-7203
Mailing Address - Country:US
Mailing Address - Phone:770-386-0707
Mailing Address - Fax:770-386-0799
Practice Address - Street 1:970 CASSVILLE WHITE RD NE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121
Practice Address - Country:US
Practice Address - Phone:770-386-0707
Practice Address - Fax:770-386-0799
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN054957363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily