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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PERSONAL NUMBER | 5455 | 01 |
Street Address |
2337 DEERFIELD CHASE SE |
City | CONYERS |
State | GA |
Zip Code | 30013-6307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
Find all providers in zip 30013 |
Taxonomy Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
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 |
Find all providers with the same taxonomy |
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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.