Individual
MRS. JUANITA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9151 GARRETT LAKE DR, MIDLAND, GA 31820-4391
(706) 577-2865
Mailing address
9151 GARRETT LAKE DR, MIDLAND, GA 31820-4391
(706) 577-2865
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO093863
GA
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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