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Individual

DASHON LIOSHA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
518 TELLICO SQ, MCDONOUGH, GA 30252-4072
(404) 437-3595
Mailing address
518 TELLICO SQ, MCDONOUGH, GA 30252-4072
(404) 437-3595

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
PHCP010190
GA

Other

Enumeration date
12/21/2024
Last updated
12/21/2024
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