Shannon Williams, LDO

NPI #1508405952 in Port Wentworth, Georgia

Provider Information

NPI Number: 1508405952
Entity Type: Individual
Name: Shannon Williams, LDO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician/Technologist - Contact Lens
Credential: LDO
Enumeration Date: Jan 2, 2020
Last Updated: Jan 2, 2020

Practice Location

Address: 34 BIRCH CIR
City: Port Wentworth
State: Georgia
ZIP Code: 31407-3376
Phone: (912) 650-1161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Contact Lens — Contact Lens	156FC0800X	Primary
Technician/Technologist - Optician — Optician	156FX1800X

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