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Individual

JAN D. WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLPD

Contact information

Practice address
104 CARRIAGE LN, PEACHTREE CITY, GA 30269-1323
(770) 363-1929
Mailing address
104 CARRIAGE LN, PEACHTREE CITY, GA 30269-1323
(770) 363-1929

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003905
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891207907A
GA
Enumeration date
05/03/2007
Last updated
04/16/2026
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