Provider Demographics
NPI:1407058944
Name:WILLIAMSON, JOANNE PRICE (MD)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:PRICE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:L
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:836 E 65TH ST STE 22
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4493
Mailing Address - Country:US
Mailing Address - Phone:912-819-7171
Mailing Address - Fax:
Practice Address - Street 1:5354 REYNOLDS ST STE 422
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6011
Practice Address - Country:US
Practice Address - Phone:912-364-2634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29847207V00000X
GA063604207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
01353565OtherAMERIGROUP
SC582162071-036OtherBCBS
GA624569OtherWELLCARE
SCG32591Medicaid
GAP00853751OtherRR MEDICARE
GA443712241BMedicaid
GA443712241AMedicaid
SCP00869898OtherRR MEDICARE
SC582162071-036OtherBCBS
01353565OtherAMERIGROUP
SCG32591Medicaid