| Michael Brandon Williams, MD | |
|
2151 W Spring St Ste B210, Monroe, GA 30655-3214 | |
| (770) 207-5738 | |
| Not Available |
| Full Name | Michael Brandon Williams |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2151 W Spring St Ste B210, Monroe, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558781344 | NPI | - | NPPES |
| 4145039-01 | Medicaid | TX | |
| H08NC85001 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | S7372 (Texas) | Secondary |
| 208600000X | Surgery | 84568 (Georgia) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | University Of Texas Rio Grande Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477960730 PECOS PAC ID: 3577885276 Enrollment ID: O20141209000376 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Brandon Williams, MD 1614 Lila Beth Ln, Mission, TX 78572-3188 Ph: () - | Michael Brandon Williams, MD 2151 W Spring St Ste B210, Monroe, GA 30655-3214 Ph: (770) 207-5738 |
Dr. Richard Keith Jacob Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 Fax: 770-266-7346 | |
Dr. Nathaniel Leon Hill Ii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 Fax: 770-266-7346 | |
Dr. Rosemary Chickos, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 Fax: 770-266-7346 | |
Dr. Cesar Medalla Delima, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 Alcovy Street, Suite 10, Monroe, GA 30655 Phone: 770-267-2790 Fax: 770-207-0652 |