Provider Demographics
NPI:1922059971
Name:WILLIAMS, ROBERT L JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:720 WESTVIEW DRIVE SW
Mailing Address - Street 2:HARRIS BLDG., 100-A
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310
Mailing Address - Country:US
Mailing Address - Phone:404-756-1400
Mailing Address - Fax:
Practice Address - Street 1:75 PIEDMONT AVE NE
Practice Address - Street 2:STE 700
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-2544
Practice Address - Country:US
Practice Address - Phone:404-756-1400
Practice Address - Fax:404-756-1489
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2018-10-03
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Provider Licenses
StateLicense IDTaxonomies
GA033233207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00429558CMedicaid
GAE824558Medicare UPIN
GA16BDBVWMedicare ID - Type Unspecified