Field 2: BILLING SERVICE NAME If applicable, enter the name of the billing service that the provider is enrolled. with. If you are not using a billing service, leave this field blank. Field 3: DATE Enter the date the Certification Statement is submitted to the fiscal agent.
Gregory Jerome Coleman (born September 9, 1954 in Jacksonville, Florida) is a retired American football punter who had a 12-year career in the National Football League playing for the Cleveland Browns, the Minnesota Vikings, and the Washington Redskins. He attended Florida A&M University.
Mr. Greg L Williams, NP, is a Nurse Practitioner specialist in Baxley, Georgia. He graduated in 2009, having over 8 years of diverse experience, especially in Nurse Practitioner. He is affiliated with many hospitals including Appling Hospital.