Individual
JESSICA RAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 HIGHWAY 16 W, GRIFFIN, GA 30223-7107
(770) 229-3407
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(404) 845-4045
(706) 845-4367
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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