Provider Demographics
NPI:1417848078
Name:WILLIAMS, DAIMEYON OSIRIS (DC, MSC, MBA)
Entity type:Individual
Prefix:DR
First Name:DAIMEYON
Middle Name:OSIRIS
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC, MSC, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3142 PACES STATION RDG
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-4075
Mailing Address - Country:US
Mailing Address - Phone:802-399-8045
Mailing Address - Fax:
Practice Address - Street 1:750 MOUNT ZION RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-3002
Practice Address - Country:US
Practice Address - Phone:770-968-5611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR066519111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician