MRS. MWICHE WILLIAMS


Address: 2337 Deerfield Chase Se, Conyers, GA 30013-6307
Phone: 6784620092

MRS. MWICHE WILLIAMS (NPI# 1104438530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104438530
Entity Type Individual
Full Name MRS. MWICHE WILLIAMS
Credential NP
Practice Address 2337 Deerfield Chase Se
Conyers
GA 30013-6307
Practice Telephone 6784620092
Mailing Telephone 6784620092
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 212001 GA Physician Assistants & Advanced Practice Nursing Providers
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
212001 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PERSONAL NUMBER 5455 01

Office Location

Street Address 2337 DEERFIELD CHASE SE
City CONYERS
State GA
Zip Code 30013-6307

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1043735244 Niki Tanyell Davis Licensed Practical Nurse 1403 Windy Hill Court, Conyers, GA 30013 2017-08-08
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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396344586 Lynester Williams Clinical Nurse Specialist 1876 Rock Chapel Rd, Lithonia, GA 30058-5105 2020-10-20
1942819545 Alicia Haisley Clinical Nurse Specialist 504 Village Pt, Fairburn, GA 30213-5100 2020-07-29
1609314376 Sajani Paresh Patel Clinical Nurse Specialist 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-3760 2017-02-02
1750827242 Mahlet Abebe Clinical Nurse Specialist 621 Windcroft Cir Nw, Acworth, GA 30101-3797 2017-01-09
1952780389 Beverley Murray Clinical Nurse Specialist 210 Long Bridge Rd, Helena, GA 31037-2804 2015-05-19
1013337690 Elizabeth Anne Dykeman Clinical Nurse Specialist 3035 Highway 17, Sautee Nacoochee, GA 30571-3013 2014-04-22
1205258431 Gary Steven Koller Clinical Nurse Specialist 76 Holder Road, Lumpkin, GA 31815 2014-01-07
1801135280 Sharon Templeton Matson Clinical Nurse Specialist 2950 Ashbyrn Ct, Buford, GA 30519-3989 2013-02-05
1205061371 Tami Mitchell Hefner Clinical Nurse Specialist 290 Emerald Dr, Clarkesville, GA 30523-4290 2009-05-19
1275796559 Tawnya Lynette Pringle Clinical Nurse Specialist 3196 Mount Zion Rd, Apt 804, Stockbridge, GA 30281-9304 2008-07-07
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Competitor

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City CONYERS
Zip Code 30013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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