Medical Consultants of Southeast

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

013102 Issued in GA

Legal business name

MEDICAL CONSULTANTS OF SOUTHEAST

Practice address

1415 Highway 85 N
Suite 310-384
Fayetteville, GA 30214-4035

Phone

(404) 556-1114

NPI assigned

May 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph W. Williams, M.D.

Title

President

Phone

(404) 556-1114

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1104084409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N",
            "address_2": "SUITE 310-384",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144035",
            "telephone_number": "404-556-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N",
            "address_2": "SUITE 310-384",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144035",
            "telephone_number": "404-556-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTANTS OF SOUTHEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-556-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "013102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.