Individual
TAMEKIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 DICKONS GARDEN LN, MCDONOUGH, GA 30253-3061
(404) 985-3145
Mailing address
2028 DICKONS GARDEN LN, MCDONOUGH, GA 30253-3061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
081080
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056847293
—
GA
Enumeration date
10/12/2017
Last updated
10/25/2017
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