Healthcare Provider Details

I. General information

NPI: 1487563532
Provider Name (Legal Business Name): AYSHIA WILLIAMS BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N THOMAS ST
BAXLEY GA
31513-0778
US

IV. Provider business mailing address

622 NEWTON CT
RINCON GA
31326-5296
US

V. Phone/Fax

Practice location:
  • Phone: 912-278-0551
  • Fax: 912-208-4100
Mailing address:
  • Phone: 912-797-0917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN334379
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: