Individual
MATRICE LATA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 CONLEY RD APT 207, CONLEY, GA 30288-1888
(404) 384-1132
Mailing address
1625 CONLEY RD APT 207, CONLEY, GA 30288-1888
(404) 384-1132
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000089644
GA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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