Provider Demographics
NPI:1356400238
Name:WILLIAMS, PAULA GILL (RPH)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:GILL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 LAKEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31719-8219
Mailing Address - Country:US
Mailing Address - Phone:229-928-0682
Mailing Address - Fax:
Practice Address - Street 1:505 LAKEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31719-8219
Practice Address - Country:US
Practice Address - Phone:229-928-0682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist