Individual
PAULETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE, RD, & LD
Contact information
Practice address
790 N MAIN ST, SUITE 101, CLAYTON, GA 30525-4275
(404) 234-6570
(706) 782-1840
Mailing address
227 S PENDLETON ST, SUITE B, EASLEY, SC 29640-3047
(864) 855-7030
(864) 855-7019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
315876
GA
133V00000X
Registered Dietitian
Primary
LD000046
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71BBBWM
PTAN/LEGACY
GA
Enumeration date
08/14/2007
Last updated
10/26/2009
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