Individual
DR. JENNIFER EDENS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 CANYON PARK DR, PELHAM, AL 35124-4817
(205) 624-4736
Mailing address
719 VAN BUREN DR, VESTAVIA, AL 35226-3415
(205) 910-1750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C29-TA-867
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437284593
GROUP NPI
AL
Enumeration date
08/30/2010
Last updated
09/20/2022
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