Individual
MRS. CAROLYN MCCULLAGH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3871 E HIGHWAY 98 STE 201, PORT ST JOE, FL 32456
(850) 229-3712
(850) 229-3712
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4686
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9101182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291229500
—
FL
Enumeration date
10/06/2006
Last updated
02/15/2019
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