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General NPI Number Information
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NPI Number | 1891694253
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Entity Type | Individual
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Provider Name | CARL ERIC WILLIAMS SR. FNP
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Gender | Male
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 5585 THOMASTON RD
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City | MACON
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State | GA
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Zip | 31220-8200
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Country | US
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Telephone | 478-354-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 210 OBRIEN DR
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City | KATHLEEN
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State | GA
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Zip | 31047-5338
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP216291
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License Number State | GA
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