| Doctor Name: | AGNES WILLIAMS |
| NPI Number: | 1386777332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPN |
| License Number: | LPN036477 |
| Business Practice Address: | 201 Villa Nova St Cuthbert, GA - 398401037 |
| Business Phone Number: | 2297325276 |
| Business Fax Number: | 2297325090 |
| Mailing Address: | 528 Days Ave, FORT GAINES |
| State: | GA |
| Postal Code: | 398512237 |
| Phone Number: | 2297683096 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPN036477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |