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Contact Information

MARY MACWILLIAMS, CRNA
777 HEMLOCK STREET
MACON, GA31201
 Phone: 478-633-6706
 Fax: 478-633-5384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MARY MACWILLIAMS · (Female)

NPI # 1730300914
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 05/02/2007
Last updated 08/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN113031
  • GA Medicaid 000900644A
  • GA Other 000900644A PEACHSTATE CMO - MCCG
  • GA Other 430062856 RAILROAD MCR - MCCG
  • GA Other 344352 WELLCARE CMO - MCCG
Hospital affiliation(s)
  • MEDICAL CENTER OF CENTRAL GEORGIA - (Acute Care)
    777 HEMLOCK STREET
    MACON, GA 31201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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