Organization
METRO WEST MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE WILLIAMS JR. MD (PRESIDENT)
(205) 397-9214
Entity
Organization
Contact information
Practice address
801 PRINCETON AVE SW, POB I SUITE 406, BIRMINGHAM, AL 35211-1310
(205) 788-6688
(205) 788-0305
Mailing address
801 PRINCETON AVE SW, POB I SUITE 406, BIRMINGHAM, AL 35211-1310
(205) 788-6688
(205) 788-0305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101621
UHC
AL
01
—
0410343
JGL UHC
AL
01
—
0410383
JDM UHC
AL
Enumeration date
02/02/2007
Last updated
07/19/2007
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