Provider Demographics
NPI:1912948944
Name:WILLIAMS, HOWARD JONES III (MD DABPM)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:JONES
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:MD DABPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 674566
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30006-0001
Mailing Address - Country:US
Mailing Address - Phone:770-955-7246
Mailing Address - Fax:770-955-2414
Practice Address - Street 1:2520 WINDY HILL ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8650
Practice Address - Country:US
Practice Address - Phone:770-955-7246
Practice Address - Fax:770-955-2414
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035354207LP2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0527037OtherBLUE CROSS BLUE SHIELD
F26294Medicare UPIN