Individual
MRS. ANDREA CLOTELIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, LMT
Contact information
Practice address
807 OAKHURST DR STE B, EVANS, GA 30809-3713
(706) 829-8038
(706) 496-8541
Mailing address
4032 LAKEWOOD DR, GROVETOWN, GA 30813-1250
(706) 829-8038
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN065382
GA
225700000X
Massage Therapist
Primary
LMT014583
GA
Other
Enumeration date
01/19/2024
Last updated
09/03/2025
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