Individual
TAKEYLA NICOLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
818 SAINT SEBASTIAN WAY STE 104, AUGUSTA, GA 30901-2652
(706) 434-0130
Mailing address
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421-7133
(423) 495-4349
(423) 495-4934
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
59979
TN
208600000X
Surgery Physician
Primary
84136
GA
2086X0206X
Surgical Oncology Physician
59979
TN
Other
Enumeration date
05/13/2010
Last updated
04/03/2025
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