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RONDA D WILLIAMSON FNP BC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1790703833

Individual Registrant:
 RONDA D WILLIAMSON FNP BC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
36671 HIGHWAY 23  COBBTOWN, GA 30420-6042 US
Tel: 912-684-2071  Fax: 912-684-2074

Contact information for business:
210 E DERENNE AVE  SAVANNAH, GA 31405 US
Tel: 912-644-5300  Fax: 912-644-5260

Registration Information:
NPI: 1790703833
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN072778 NP
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN072778

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
723799683BGA05




HEALTH CARE JOBS GA - Page 1



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