Individual
MARLON CHAD WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 GAULT AVE N, FORT PAYNE, AL 35967
(256) 979-1633
(256) 304-5456
Mailing address
617 GAULT AVE N, FORT PAYNE, AL 35967
(256) 979-1633
(256) 304-5456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.33688
AL
207Q00000X
Family Medicine Physician
Primary
33688
AL
207R00000X
Internal Medicine Physician
72744
GA
Other
Enumeration date
06/11/2013
Last updated
04/08/2024
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