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NPI Code Detail

MEDICARE: JANET WILLIAMSON

MEDICARE:   JANET  WILLIAMSON
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1699408831
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET WILLIAMSON
Provider Business Mailing Address
First Line : 3390 N BERKELEY LAKE RD NW
Second Line :
City : DULUTH
State : GA
Zip : 30096-3006
Country : US
Telephone Number : 470-704-5030
Fax Number :
Provider Business Practice Location Address
First Line : 3390 N BERKELEY LAKE RD NW
Second Line :
City : DULUTH
State : GA
Zip : 30096-3006
Country : US
Telephone Number : 470-704-5030
Fax Number : 470-704-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2022
Last Update Date : 07/06/2022

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Directions to “ JANET WILLIAMSON ” Practice Location

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