Doctor Name: | TASHA ELIZABETH FELTON WILLIAMS |
NPI Number: | 1275510398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHCNP |
License Number: | 041-309418 |
Business Practice Address: | 2817 Reilly Rd Ft. Bragg, NC - 283105000 |
Business Phone Number: | 9109078333 |
Business Fax Number: | 9109077321 |
Mailing Address: | 4628 Keighley Dr, STONE MOUNTAIN |
State: | GA |
Postal Code: | 300834341 |
Phone Number: | 8156218487 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 11/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 041-309418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |