Individual
CLINTON SCOTT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LOWELL DR SE, STE 107, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5954
Mailing address
420 LOWELL DR SE, STE 103, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21249
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005509737
AETNA
—
01
—
080142310
RAILROAD MEDICARE
—
01
—
51008592
BLUE CROSS BLUE SHIELD
AL
01
—
631223038
TAX IDENTIFICATION NO
—
Enumeration date
11/11/2005
Last updated
02/02/2010
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