Provider Demographics
NPI:1407426448
Name:WILLIAMS, IESHIA
Entity Type:Individual
Prefix:
First Name:IESHIA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3991 ROBERT REES DURANT RD
Mailing Address - Street 2:
Mailing Address - City:ALCOLU
Mailing Address - State:SC
Mailing Address - Zip Code:29001-9205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3991 ROBERT REES DURANT RD
Practice Address - Street 2:
Practice Address - City:ALCOLU
Practice Address - State:SC
Practice Address - Zip Code:29001-9205
Practice Address - Country:US
Practice Address - Phone:843-513-8916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2470A2800XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationAssistant Record Technician