Doctor Name: | BILLY RAY WILLIAMS |
NPI Number: | 1033271986 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 8201 Hazelbrand Rd Ne Covington, GA - 300141510 |
Business Phone Number: | 7707873977 |
Business Fax Number: | 7707843022 |
Mailing Address: | 295 Spring Rd, COVINGTON |
State: | GA |
Postal Code: | 300161785 |
Phone Number: | 7703858338 |
Fax Number: | 7707843022 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |