Organization
GULF COAST RADIOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R WILLIAMS M.D. (PRESIDENT/ OWNER)
(662) 313-1392
Entity
Organization
Contact information
Practice address
1680 W 2ND ST, GULF SHORES, AL 36542-3442
(251) 948-3420
(251) 948-3455
Mailing address
1680 W 2ND ST, GULF SHORES, AL 36542-3442
(251) 948-3420
(251) 948-3455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD25102
AL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD25102
AL
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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