Individual
DEKORSHA KEYERA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-BC
Contact information
Practice address
1013 HARLIN STREET, ELLOREE, SC 29047
(803) 928-0126
Mailing address
PO BOX 364, ELLOREE, SC 29047-0364
(803) 928-0126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2023194228
SC
363LF0000X
Family Nurse Practitioner
Primary
5020588
NC
Other
Enumeration date
03/04/2024
Last updated
12/02/2025
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