Provider Demographics
NPI:1902694938
Name:WILLIAMS, KESHIUS
Entity type:Individual
Prefix:DR
First Name:KESHIUS
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 IRIS DR SW STE 102A
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-6602
Mailing Address - Country:US
Mailing Address - Phone:770-285-6347
Mailing Address - Fax:
Practice Address - Street 1:990 IRIS DR SW STE 102A
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-6602
Practice Address - Country:US
Practice Address - Phone:770-285-6347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator