Individual
MS. EBONY MONIQUE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1714 CROSSINGS DR, LITHIA SPRINGS, GA 30122-3933
(404) 734-6913
Mailing address
8105 NORTH RIDGEBROOK DRIVE, NORTH CHARLESTON, SC 29420
(404) 734-6913
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0014180730
GA
374U00000X
Home Health Aide
—
GA
Other
Enumeration date
08/19/2011
Last updated
02/18/2016
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