Williams, Kory Shanese

Williams, Kory Shanese is an individual health care provider with primary practice located at 61 Carpenter Rd N Apt C5 , Tifton GA 31793-7860. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Williams, Kory Shanese can be contacted via phone (229) 566-3740.

Contact Information

Primary practice address
61 Carpenter Rd N Apt C5 Tifton GA 31793-7860
Phone: (229) 566-3740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1124610258
LBN Legal business name Williams, Kory Shanese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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