Individual
DAVID WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 THOMPSON ST, CUSSETA, GA 31805-3945
(706) 204-6190
Mailing address
126 THOMPSON ST, CUSSETA, GA 31805-3945
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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