Eleanor Brown Williams | |
864 Clark Dr Ellenwood GA 30294-2654 | |
(678) 772-5834 | |
Not Available |
Full Name | Eleanor Brown Williams |
---|---|
Speciality | Community/behavioral Health |
Location | 864 Clark Dr, Ellenwood, Georgia |
Authorized Official Name and Position | Eleanor Brown Williams (THERAPIST) |
Authorized Official Contact | 6787725834 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eleanor Brown Williams 864 Clark Dr Ellenwood GA 30294-2654 Ph: (678) 772-5834 | Eleanor Brown Williams 864 Clark Dr Ellenwood GA 30294-2654 Ph: (678) 772-5834 |
NPI Number | 1225432792 |
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Provider Enumeration Date | 10/13/2014 |
Last Update Date | 10/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225432792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC003061 (Georgia) | Primary |
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