Provider Demographics
NPI:1992994198
Name:WILLIAMS, ALCIA ANNEMARIE (MD)
Entity type:Individual
Prefix:
First Name:ALCIA ANNEMARIE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2484 BRIARCLIFF RD NE
Mailing Address - Street 2:#22-180
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3011
Mailing Address - Country:US
Mailing Address - Phone:404-639-4112
Mailing Address - Fax:
Practice Address - Street 1:1600 CLIFTON ROAD NE. MS-A07
Practice Address - Street 2:CENTERS FOR DISEASE CONTROLL
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30333
Practice Address - Country:US
Practice Address - Phone:404-639-4112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80724207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine