Individual
MISS TONTALIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 OAK STREET, MCCORMICK, SC 29835
(864) 993-6156
Mailing address
1440 TROY WEST RD, MC CORMICK, SC 29835-7817
(864) 337-2413
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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