Provider Demographics
NPI:1528564721
Name:WILLIAMS, NAJIYYAH M (CNA)
Entity Type:Individual
Prefix:
First Name:NAJIYYAH
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 SEASONS PKWY
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3109
Mailing Address - Country:US
Mailing Address - Phone:404-953-1083
Mailing Address - Fax:
Practice Address - Street 1:1715 SEASONS PKWY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3109
Practice Address - Country:US
Practice Address - Phone:404-953-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0014186092376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACN0014186092OtherCERTIFIAED NURSE ASSISTANT/CNA