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Individual

KATELIN JEAN WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
720 GRACERN RD STE 120, COLUMBIA, SC 29210-7657
(803) 296-2585
(803) 551-2585
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36709
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
367098
SC
Enumeration date
06/13/2014
Last updated
04/23/2021
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