Individual ProviderEric WilliamsFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2513 Shallowford Rd, Building 100, Marietta, GA 30066-6809(770) 516-3500PECOS EnrollmentBased on the most recent information from CMS, provider Eric Williams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1265493779Provider TypeIndividualFull NameWilliams, EricCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/1/2006Last Updated12/9/2011Contact InformationPractice LocationPractice Address2513 Shallowford Rd, Building 100, Marietta, GA 30066-6809Phone(770) 516-3500Fax(770) 516-3660Mailing LocationMailing Address2513 Shallowford Rd, Building 100, Marietta, GA 30066-6809Phone(770) 516-3500Fax(770) 516-3660Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense052654GeorgiaProvider IdentifiersIDDescriptionIssuerID246892126GDescriptionMedicaidIssuerUnlistedGeorgia