Healthcare Provider Details

I. General information

NPI: 1144096595
Provider Name (Legal Business Name): CHRISTY WILLIAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 DRAYTON ST
SAVANNAH GA
31401-7526
US

IV. Provider business mailing address

1602 DRAYTON ST
SAVANNAH GA
31401-7526
US

V. Phone/Fax

Practice location:
  • Phone: 912-651-2587
  • Fax: 912-651-2875
Mailing address:
  • Phone: 912-651-2587
  • Fax: 912-651-2875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN306971
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: