Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 051106 | GA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 051106 | GA |
NPI | 1891795134 |
---|---|
Provider Name | Sharrona Sheree Williams |
First Address | Atlanta, GA 30339-3035 |
Second Address | Fayetteville, GA 30214-4548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 03/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
938751746B | (05) | GA |
I17732 | (02) | |
P00264053 | RAILROAD MEDICARE (01) | GA |