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Individual

ALEXANDRA SHEA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
109 BENTZ RD, PIEDMONT, SC 29673-1412
(864) 845-5177
Mailing address
434 CHRISTIANE WAY, GREENVILLE, SC 29607-5568

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28006
SC
363LG0600X
Gerontology Nurse Practitioner
28006
SC
363LP2300X
Primary Care Nurse Practitioner
28006
SC

Other

Enumeration date
04/11/2024
Last updated
04/11/2024
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