Provider Demographics
NPI:1972924769
Name:WILLIAMS, CHRISTY
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6850 MABLETON PKWY SE
Mailing Address - Street 2:UNIT 243
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-4572
Mailing Address - Country:US
Mailing Address - Phone:404-480-0698
Mailing Address - Fax:
Practice Address - Street 1:6850 MABLETON PKWY SE
Practice Address - Street 2:UNIT 243
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-4572
Practice Address - Country:US
Practice Address - Phone:404-480-0698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide