Individual
MISS LATOYA S WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
Mailing address
133 OTIS JONES DR, PELHAM, NC 27311-9202
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5005539
NC
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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