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General NPI Number Information
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NPI Number | 1659297059
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Entity Type | Individual
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Provider Name | CHRISTIAN DEMOR WILLIAMS FNP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2000 VILLAGE PROFESSIONAL DR STE 110
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City | CANTON
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State | GA
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Zip | 30114-8499
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Country | US
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Telephone | 678-880-6698
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Fax | 470-299-9936
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Provider Business Mailing Address
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Address Line | 130 VINES CT
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-8236
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Country | US
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Telephone | 478-293-8610
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN321036
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License Number State | GA
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