Provider Demographics
NPI:1649645458
Name:WILLIAMS, HEATHER (DVM)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8740 LAKE GLEN CT
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6826
Mailing Address - Country:US
Mailing Address - Phone:770-330-6627
Mailing Address - Fax:
Practice Address - Street 1:3719 OLD ALABAMA RD STE 300-H
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-8692
Practice Address - Country:US
Practice Address - Phone:678-710-9031
Practice Address - Fax:678-710-9031
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6344174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian