Provider Demographics
NPI:1780771485
Name:WILLIAMS, CATHEY A (PA-C)
Entity type:Individual
Prefix:
First Name:CATHEY
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE STE 1720
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2262
Mailing Address - Country:US
Mailing Address - Phone:404-253-6824
Mailing Address - Fax:404-253-6825
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:SUITE 1620
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-885-7701
Practice Address - Fax:404-885-7777
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA002075363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA97WCCRHOtherCAHABA