Individual
JENNIFER WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6512
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6512
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN086134
GA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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