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Individual

JACQKENIA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2201 TALMADGE RD, HAMPTON, GA 30228-1608
(352) 575-8483
Mailing address
2190 VININGS NORTH LN SE, SMYRNA, GA 30080-5977
(352) 575-8483

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH044909
GA

Other

Enumeration date
01/20/2026
Last updated
01/20/2026
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