Provider Demographics
NPI:1699871822
Name:WILLIAMS, NORRIS SR (PA-C)
Entity type:Individual
Prefix:
First Name:NORRIS
Middle Name:
Last Name:WILLIAMS
Suffix:SR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4519 WOODRUFF RD
Mailing Address - Street 2:SUITE 4 PMB 349
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6011
Mailing Address - Country:US
Mailing Address - Phone:706-653-2329
Mailing Address - Fax:706-653-2329
Practice Address - Street 1:2737 WARM SPRINGS RD
Practice Address - Street 2:SUITE B & C
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6859
Practice Address - Country:US
Practice Address - Phone:706-576-5149
Practice Address - Fax:706-576-5150
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2010-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA001844363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant