Individual
MRS. TASHIBA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
369 EMMA DR, WINDER, GA 30680-4084
(706) 254-6570
(800) 206-0047
Mailing address
369 EMMA DR, WINDER, GA 30680-4084
(706) 254-6570
(800) 206-0047
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
GA
347E00000X
Transportation Broker
Primary
—
GA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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