Individual
CHENELL DENISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 WILBURN ST, JONESBORO, GA 30236-3637
(678) 519-2707
(678) 519-2707
Mailing address
308 WILBURN ST, JONESBORO, GA 30236-3637
(678) 519-2707
(678) 519-2707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/26/2011
Last updated
12/26/2011
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