Provider Demographics
NPI:1841690252
Name:WILLIAMS, BRIAN K (PA)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:K
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1765 OLD WEST BROAD ST BLDG 2-200
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2887
Mailing Address - Country:US
Mailing Address - Phone:706-549-1663
Mailing Address - Fax:706-286-8792
Practice Address - Street 1:1031 LAKE COUNTRY DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-5157
Practice Address - Country:US
Practice Address - Phone:706-549-1663
Practice Address - Fax:706-286-8792
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2025-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA13351363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA9114473OtherMEDICAL LICENSE