Individual
SHERMELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4298 GREAT EGRET WAY, MIDDLEBURG, FL 32068-8760
(803) 318-2052
Mailing address
4298 GREAT EGRET WAY, MIDDLEBURG, FL 32068-8760
(803) 318-2052
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019303600
—
FL
Enumeration date
01/26/2019
Last updated
04/11/2020
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