Basic Information
| Provider Information | |||||||||
| NPI: | 1669658423 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 440 LANTERN WOOD DR | ||||||||
| Address2: | |||||||||
| City: | SCOTTDALE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300796802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042196638 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1364 CLIFTON ROAD NE | ||||||||
| Address2: | 3B SOUTH ROOM B-355 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8007115444 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2008 | ||||||||
| LastUpdateDate: | 01/11/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 002232 | GA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.