| Dennis Williams, MD | |
|
901 18th St E, Tifton, GA 31794-3648 | |
| (229) 353-6208 | |
| (229) 353-7722 |
| Full Name | Dennis Williams |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 901 18th St E, Tifton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457422842 | NPI | - | NPPES |
| 033490 | Other | GA | LICENSE NUMBER |
| 000495327D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33490 (Georgia) | Primary |
| 207P00000X | Emergency Medicine | 033490 (Georgia) | Secondary |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Fort Oglethorpe Emergency Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174024376 PECOS PAC ID: 8527323633 Enrollment ID: O20180521000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Williams, MD 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-6208 | Dennis Williams, MD 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-6208 |
Benjamin R Hess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 | |
Mr. Carl David Johnson Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 Love Ave, Tifton, GA 31794 Phone: 229-391-3300 Fax: 229-388-1948 | |
Summer Bryant Alvarez, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-300-3642 | |
Troy A Clifton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6051 | |
Yash Nandola, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-7425 | |
Catherine Rae Cravey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 |