NPI 1124610258

Kory Shanese Williams

Practitioner Contractor Tifton, GA

Practice location

Address: 61 Carpenter Rd N APT C5, Tifton, GA 31793-7860
Phone: (229) 566-3740

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1124610258
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2021
Record last updated: 10 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.