Individual
MRS. MARILYN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3050 REGENT BLVD STE 400, IRVING, TX 75063-5808
(214) 688-8093
(866) 522-6596
Mailing address
2750 OLD MILL RD, RUTLEDGE, GA 30663-2308
(770) 655-5827
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN097616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000741804D
—
GA
01
—
RN097616NP
NURSING LICENSE
GA
Enumeration date
05/04/2006
Last updated
09/23/2014
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