Individual
EBONY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
5280 BUFORD HWY NE STE B, DORAVILLE, GA 30340-1117
(770) 686-0494
Mailing address
5280 BUFORD HWY NE STE B, DORAVILLE, GA 30340-1117
(770) 686-0494
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C0105979
GA
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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