Doctor Name: | MS. LILLIAN WASHINGTON WILLIAMS |
NPI Number: | 1063581478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS, FNP-BC |
License Number: | RN120648 |
Business Practice Address: | 5540 Shanon Vw Douglasville, GA - 301351272 |
Business Phone Number: | 7709479551 |
Business Fax Number: | |
Mailing Address: | 5540 Shanon Vw, DOUGLASVILLE |
State: | GA |
Postal Code: | 301351272 |
Phone Number: | 7709479551 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN120648 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |