Provider Demographics
NPI:1629464870
Name:WILLIAMS, PELHAM L IV (MD)
Entity Type:Individual
Prefix:DR
First Name:PELHAM
Middle Name:L
Last Name:WILLIAMS
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:2727 PACES FERRY RD SE STE 1-1100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3747 ROSWELL RD STE 107
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6227
Practice Address - Country:US
Practice Address - Phone:470-956-0150
Practice Address - Fax:678-560-5947
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA80973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine