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Individual

TASHEEKA N WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
3685 LAWRENCEVILLE HWY STE 100, LAWRENCEVILLE, GA 30044-4152
(770) 921-7386
(770) 923-8529
Mailing address
3685 LAWRENCEVILLE HWY STE 100, LAWRENCEVILLE, GA 30044-4152
(770) 921-7386
(770) 923-8529

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN163073
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
740488125A
GA
Enumeration date
02/27/2008
Last updated
11/05/2025
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