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Individual

MS. CONSUELA MARIA WILLIAMS-HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
440 CHARTER BLVD, STE 2202, MACON, GA 31210-0705
(478) 741-4332
(478) 741-4343
Mailing address
PO BOX 4124, MACON, GA 31208-4124
(478) 741-4332
(478) 741-4343

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD981
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
436532810B
GA
Enumeration date
07/17/2006
Last updated
08/17/2020
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