| Doctor Name: | MARY LYNN WILLIAMS |
| NPI Number: | 1174846216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN102733 |
| Business Practice Address: | 602 E 16th Ave Suite B Cordele, GA - 310151776 |
| Business Phone Number: | 2292719330 |
| Business Fax Number: | 2292719245 |
| Mailing Address: | Po Box 5610, CORDELE |
| State: | GA |
| Postal Code: | 310105610 |
| Phone Number: | 2292738881 |
| Fax Number: | 2292738985 |
| NPI Enumeration Date: | 03/03/2010 |
| NPI Last Update Date: | 12/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN102733 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |