Individual
DIANNA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2109 FAIRBURN RD, SUITE A, DOUGLASVILLE, GA 30135-1037
(770) 726-7958
(770) 693-0829
Mailing address
2109 FAIRBURN RD, SUITE A, DOUGLASVILLE, GA 30135-1037
(770) 726-7958
(770) 693-0829
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN093493
GA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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