Individual
MRS. LARRESIA HAIRSTON WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
413 SILVERTOP DR, GRAYSON, GA 30017-4192
(678) 458-1877
Mailing address
1120 HOPE RD, STE 200, SANDY SPRINGS, GA 30350-2974
(833) 633-4778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN172755
GA
Other
Enumeration date
07/31/2018
Last updated
09/20/2018
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