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RONDA D WILLIAMSON FNP BC
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1790703833
Individual Registrant: RONDA D WILLIAMSON FNP BC
Gender: F
Not Sole Proprietor
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
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
Tel: 912-644-5300 Fax: 912-644-5260
Registration Information:
NPI: 1790703833
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN072778 NP |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN072778 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 723799683B | GA | 05 |
