Provider Demographics
NPI:1033001870
Name:WILLIAMS, JOSIE TIARA (PA-C)
Entity type:Individual
Prefix:MS
First Name:JOSIE
Middle Name:TIARA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:252 PARK AVE SE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:39813-2404
Mailing Address - Country:US
Mailing Address - Phone:229-308-3861
Mailing Address - Fax:
Practice Address - Street 1:252 PARK AVE SE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:GA
Practice Address - Zip Code:39813-2404
Practice Address - Country:US
Practice Address - Phone:229-308-3861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant