Provider Information for 1417145756
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CAROL ANN WILLIAMS Licensed Professiona
Sex: Female
NPI: 1417145756
Last Updated: 2014-11-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1417145756 | ||||||||
| Enumeration Date | 2007-10-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1088 ROGERS ROAD TRANSFORMATION CENTER CORDOVA, TN 38018 United States Phone: 901-485-5350 | Fax: | ||||||||
| Primary Practice Address | 1088 ROGERS RD CORDOVA, TN 38018-8546 United States Phone: 901-485-5350 | Fax:901-485-5350 | ||||||||
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