Individual
STEPHANIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 W ORANGE ST STE 4, JESUP, GA 31545-0735
(912) 402-3986
Mailing address
1520 W ORANGE ST STE 4, JESUP, GA 31545-0735
(912) 402-3986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PHCP012047
GA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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