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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 880399518A | 05 |
Street Address |
6507 PROFESSIONAL PL |
City | RIVERDALE |
State | GA |
Zip Code | 30274-4941 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 30274 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
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. |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. MINNETTE WILLIAMS.
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.