Individual
DR. JOHN A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1758 PARK PL, MONTGOMERY, AL 36106-1133
(334) 264-9191
Mailing address
1758 PARK PL, MONTGOMERY, AL 36106-1127
(334) 264-9191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9622
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529800710
—
AL
01
—
77459
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
10/27/2005
Last updated
05/02/2008
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