Provider Demographics
NPI:1811938723
Name:MCWILLIAMS, JOSEPH PAUL (R PH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:PAUL
Last Name:MCWILLIAMS
Suffix:
Gender:M
Credentials:R PH
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Mailing Address - Street 1:451 WEST BANKHEAD HWY
Mailing Address - Street 2:SUITE 146
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180
Mailing Address - Country:US
Mailing Address - Phone:770-459-5741
Mailing Address - Fax:770-459-2288
Practice Address - Street 1:451 WEST BANKHEAD HWY
Practice Address - Street 2:SUITE 146
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180
Practice Address - Country:US
Practice Address - Phone:770-459-5741
Practice Address - Fax:770-459-2288
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARPH010087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist