Individual
PAMELA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 RUDGATE RD, COLUMBUS, GA 31904-2929
(706) 681-4211
Mailing address
738 RUDGATE RD, COLUMBUS, GA 31904-2929
(706) 681-4211
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12088136
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136088A
—
GA
Enumeration date
12/03/2015
Last updated
12/03/2015
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