Individual
JACQUELYN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3230 DODSON DR CONNECTOR APT 5, EAST POINT, GA 30344-5332
(470) 832-9388
Mailing address
3230 DODSON DR CONNECTOR APT 5, EAST POINT, GA 30344-5332
(470) 832-9388
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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