Individual
TARA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(770) 382-1530
Mailing address
2875 CRESCENT PKWY APT 1541, ATLANTA, GA 30339-6293
(845) 532-8091
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123240
PA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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