Doctor Name: | JENNIFER E WILLIAMS |
NPI Number: | 1063859932 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | PT011019 |
Business Practice Address: | 4875 Hog Mountain Rd Suite A Flowery Branch, GA - 305423476 |
Business Phone Number: | 7709679301 |
Business Fax Number: | 7709679526 |
Mailing Address: | 5005 Lanier Islands Pkwy, Suite 300 BUFORD |
State: | GA |
Postal Code: | 305181801 |
Phone Number: | 7702713458 |
Fax Number: | 7702718036 |
NPI Enumeration Date: | 05/31/2013 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT011019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |