Individual
SHANNA M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2302 CHESTER BLVD STE A, RICHMOND, IN 47374-1221
(765) 488-0345
(765) 488-2467
Mailing address
312 N UNION ST, UNION CITY, IN 47390-1422
(937) 467-3986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002597A
IN
363A00000X
Physician Assistant
50.005816RX
OH
Other
Enumeration date
12/17/2018
Last updated
08/11/2022
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