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NPI Code Detail

MEDICARE: MRS. CAROLYN KLEEMAN WILLIAMS R.PH.

MEDICARE: MRS. CAROLYN KLEEMAN WILLIAMS R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist010535GA

General Provider Information

NPI Number : 1487657151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLYN KLEEMAN WILLIAMS R.PH.
Provider Business Mailing Address
First Line : 12 BAKER DR
Second Line :
City : SAVANNAH
State : GA
Zip : 31410-1401
Country : US
Telephone Number : 912-897-8333
Fax Number :
Provider Business Practice Location Address
First Line : 5353 REYNOLDS ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-6015
Country : US
Telephone Number : 912-819-6742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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