Individual
LISA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED CCC/SLP
Contact information
Practice address
618 BOWENS MILL RD SW, DOUGLAS, GA 31533-3926
(912) 331-0846
(678) 792-4894
Mailing address
118 PEARL AVE N, DOUGLAS, GA 31533-4632
(912) 331-0846
(678) 792-4894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003171926B
—
GA
Enumeration date
09/01/2015
Last updated
03/02/2021
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