Individual
KELLY TAYLOR WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
704 GOLD HILL RD, FORT MILL, SC 29715-8906
(803) 835-0420
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18196
SC
363LF0000X
Family Nurse Practitioner
18196
SC
Other
Enumeration date
03/17/2013
Last updated
07/15/2024
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