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NPI Profile for OCTAVIA K LUSANE WILLIAMS in MACON, GA.
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Registered Nurse |
163W00000X |
| NPI # | 1295464881 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 06/08/2022 | |
| Last updated | 06/08/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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OCTAVIA K LUSANE WILLIAMS
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OCTAVIA K LUSANE WILLIAMS, RN