Individual
MISS DEON TYWONN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
315 S 9TH ST, GRIFFIN, GA 30224-4111
(770) 229-3048
(770) 233-5503
Mailing address
166 THURMAN ST, JACKSON, GA 30233-1648
(770) 775-5861
(770) 233-5503
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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