Individual
KENDALL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
684 SIXES RD STE 105, HOLLY SPRINGS, GA 30115-8720
(678) 388-5170
Mailing address
406 SUGAR MAPLE CT, CANTON, GA 30114-7182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN289514
GA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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