Individual
LISA M WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 BLACK HAWKE LN, KATHLEEN, GA 31047-1405
(478) 832-0185
Mailing address
236 BLACK HAWKE LN, KATHLEEN, GA 31047-1405
(478) 832-0185
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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