Individual
WILLIE WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 788-6688
(205) 788-0305
Mailing address
PO BOX 12366, BIRMINGHAM, AL 35202-2366
(205) 788-6688
(205) 788-0305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11325
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009976125
—
AL
05
—
009976135
—
AL
01
—
110209683
RR MEDICARE
AL
01
—
512-20081
BCBS AL
AL
01
—
C23574
VIVA INSURANCE
AL
Enumeration date
04/06/2006
Last updated
03/04/2019
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