Individual
DESTINY WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 404-7104
Mailing address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 894-3880
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
316391
NC
Other
Enumeration date
03/11/2021
Last updated
07/06/2023
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