Provider Demographics
NPI:1760408272
Name:WILLIAMS, JAMES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 200185
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-9027
Mailing Address - Country:US
Mailing Address - Phone:770-386-1000
Mailing Address - Fax:770-386-9165
Practice Address - Street 1:12 MEDICAL DR NE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-8002
Practice Address - Country:US
Practice Address - Phone:770-386-1000
Practice Address - Fax:770-386-9165
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2022-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA052384207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH84993Medicare UPIN