DR. MINNETTE WILLIAMS


Address: 6507 Professional Pl, Riverdale, GA 30274-4941
Phone: 7709912100

DR. MINNETTE WILLIAMS (NPI# 1376768259) 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) 1376768259
Entity Type Individual
Full Name DR. MINNETTE WILLIAMS
Credential M.D.
Practice Address 6507 Professional Pl
Riverdale
GA 30274-4941
Practice Telephone 7709912100
Practice Fax Number 7709911385
Mailing Telephone 7709912100
Mailing Fax Number 7709911385
Enumeration Date 2007-04-16
Last Update Date 2010-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
2004021615 MO Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
062632 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 880399518A 05

Office Location

Street Address 6507 PROFESSIONAL PL
City RIVERDALE
State GA
Zip Code 30274-4941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043219256 Bhat Krishna Mohan Specialist 6507 Professional Pl, Riverdale, GA 30274-4941 2005-07-19
1114574258 Brittany Lynne Jackson Nurse Practitioner 6507 Professional Pl, Riverdale, GA 30274-4941 2019-08-22
1154781714 Kellie Michelle Noble Nurse Practitioner 6507 Professional Pl, Riverdale, GA 30274-4941 2016-02-24
1861736803 Dipti Khanna Nurse Practitioner 6507 Professional Pl, Riverdale, GA 30274-4941 2012-11-15
1598852436 Vikram Reddy Mandadi Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-10-10
1215049440 Siva B Mohan Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-09-01
1639128531 Southern Heart Specialists, P.C. Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-05-08
1265495444 Kandathil M. Mathew Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-04-10
1659334829 Devendra R Koganti Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-04-10
1902869084 Kuchela Reddy Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245862507 Todd L. Reed Chiropractor 83 Upper Riverdale Rd, Riverdale, GA 30274 2020-02-05
1487135992 Freddie L Sallette IIi Technician, Pathology 385 Brookview Dr, Riverdale, GA 30274 2018-08-22
1366933210 Dawn A. Paul Nurse Practitioner 238 Professional Ct Ste A, Riverdale, GA 30274 2018-05-27
1851894588 Absolute Health Family & Urgent Care Clinic Clinic/Center 7574 Ga 85, Riverdale, GA 30274 2018-03-08
1366972127 Jamillah Ingram Physical Therapy Assistant 315 Upper Riverdale Rd., Riverdale, GA 30274 2017-06-14
1114456514 Grace L Kelson Licensed Practical Nurse 9142 Clubhouse Dr, Riverdale, GA 30274 2017-06-08
1790167799 Cristian Carbuccia Internal Medicine 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 2015-06-25
1265857692 Right Choice Enterprises LLC Technician 638 Sterling Ct, Riverdale, GA 30274 2014-02-21
1942571625 Lowes Guardian Angel LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7056 Eunice Dr., Riverdale, GA 30274 2012-01-26
1508134156 Education System Management, Inc Social Worker 125 Highway 138, Riverdale, GA 30274 2011-12-12
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194252510 Baptist Cardiology Inc Internal Medicine 2060 Dan Proctor Dr Ste 3300, Saint Marys, GA 31558-3894 2017-05-16
1639519929 Bernard Sayed Harbieh Internal Medicine 2112 Lenox Park Cir Ne, Atlanta, GA 30319-5355 2013-07-01
1790929859 Edward Kojo-eyiah Koomson Internal Medicine 425 W 3rd Ave Ste 700, Albany, GA 31701-1969 2009-04-20
1407099575 Kavita Perumal Krishnasamy Internal Medicine 1267 Highway 54 W Ste 4100, Fayetteville, GA 30214-2112 2009-04-19
1306923495 Macon Electrophysiology Associates Internal Medicine 639 Hemlock Str, Ste 100, Macon, GA 31201 2006-11-01
1902980527 Joseph W Poku Internal Medicine 639 Hemlock St, Suite 100, Macon, GA 31201-6886 2006-10-24
1780779363 Central Georgia Heart Center, PC Internal Medicine 1062 Forsyth St., Suite 1b, Macon, GA 31201 2006-10-03
1609820075 Joon Ahn Internal Medicine 200 S Enota Dr Ne Ste 480, Gainesville, GA 30501-3473 2006-05-20
1821097296 Stephen Peyton Prater Internal Medicine 1404 River Pl Ste 501, Braselton, GA 30517-5600 2005-07-19
1447868278 Peachtree Cardiology Internal Medicine 190 Greencastle Rd, Tyrone, GA 30290-2936 2020-07-17
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Competitor

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City RIVERDALE
Zip Code 30274

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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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