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Individual

CORY WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1501 DECATUR HWY, GARDENDALE, AL 35071-3857
(205) 834-1731
Mailing address
5295 JOHNS RD, HUEYTOWN, AL 35023-5928
(205) 834-1731

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3838
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3838
AL
Enumeration date
04/10/2019
Last updated
04/10/2019
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