Doctor Name: | RONDA D WILLIAMSON |
NPI Number: | 1790703833 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP BC |
License Number: | RN072778 NP |
Business Practice Address: | 36671 Highway 23 Cobbtown, GA - 304206042 |
Business Phone Number: | 9126842071 |
Business Fax Number: | 9126842074 |
Mailing Address: | 210 E Derenne Ave, SAVANNAH |
State: | GA |
Postal Code: | 31405 |
Phone Number: | 9126445300 |
Fax Number: | 9126445260 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN072778 NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |