Individual
MRS. LINDA DIANE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
1341 WALKER RD, BYRON, GA 31008-5427
(478) 956-4790
(478) 956-4790
Mailing address
1341 WALKER RD, BYRON, GA 31008-5427
(478) 956-4790
(478) 956-4790
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
111-R-0756
GA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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