Individual
DONALD KENNETH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2423 LOCHWOOD DR, VALDOSTA, GA 31601-8515
(229) 251-2050
Mailing address
2423 LOCHWOOD DR, VALDOSTA, GA 31601-8515
(229) 251-2050
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
053097532
GA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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