Individual
SHANIYA LATRICE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2703 WASHINGTON RD, AUGUSTA, GA 30909-2244
(866) 389-2727
Mailing address
2703 WASHINGTON RD, AUGUSTA, GA 30909-2244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25166
SC
363LF0000X
Family Nurse Practitioner
25166
SC
363LF0000X
Family Nurse Practitioner
253956
GA
Other
Enumeration date
08/27/2021
Last updated
10/29/2025
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