Doctor Name: | MRS. SHELIA M KARDEEN WILLIAMS |
NPI Number: | 1023313541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN140903 |
Business Practice Address: | 10055 Ford Ave Suite 4a Richmond Hill, GA - 313243972 |
Business Phone Number: | 9127563075 |
Business Fax Number: | 9127565291 |
Mailing Address: | 10055 Ford Ave, Suite 4a RICHMOND HILL |
State: | GA |
Postal Code: | 313243972 |
Phone Number: | 9127563075 |
Fax Number: | 9127565291 |
NPI Enumeration Date: | 01/13/2011 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN140903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |