Organization
CRITICAL CARE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONJA M WILLIAMS (OFFICE MANAGER)
(256) 656-5789
Entity
Organization
Contact information
Practice address
911 BIG COVE RD SE, HUNTSVILLE, AL 35801-3750
(256) 265-7946
Mailing address
PO BOX 2856, HUNTSVILLE, AL 35804-2856
(256) 656-5789
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22150
AL
2080P0203X
Pediatric Critical Care Medicine Physician
20693
AL
2080P0203X
Pediatric Critical Care Medicine Physician
22150
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51092779
BCBS
AL
01
—
51093653
BCBS
AL
Enumeration date
12/04/2006
Last updated
09/11/2025
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