Individual
SHANANDRA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6325 HOSPITAL PKWY, JOHNS CREEK, GA 30097-5775
(678) 474-7832
Mailing address
192 ANNIVERSARY LN, ACWORTH, GA 30102-2029
(334) 614-8221
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
221139
AL
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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