| Doctor Name: | DR. MICHAEL ANTHONY WILLIAMS |
| NPI Number: | 1376504647 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 038650 |
| Business Practice Address: | 303 Harris Industrial Blvd Suite 3 Vidalia, GA - 304748850 |
| Business Phone Number: | 9125389977 |
| Business Fax Number: | 9125380770 |
| Mailing Address: | Po Box 407, VIDALIA |
| State: | GA |
| Postal Code: | 304750407 |
| Phone Number: | 9125374986 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 038650 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |