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Individual

MARY KATHERINE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
CLARK-HOLDER CLINIC, P.A., 303 SMITH STREET, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Mailing address
CLARK-HOLDER CLINIC, P.A., 303 SMITH STREET, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
036755
GA
363LF0000X
Family Nurse Practitioner
036755
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
036755
GA

Other

Enumeration date
06/22/2006
Last updated
09/11/2025
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