Provider Demographics
NPI:1326018581
Name:WILLIAMS, ALONZO D SR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALONZO
Middle Name:D
Last Name:WILLIAMS
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 55130
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-5130
Mailing Address - Country:US
Mailing Address - Phone:501-227-7688
Mailing Address - Fax:501-225-2930
Practice Address - Street 1:8908 KANIS RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6414
Practice Address - Country:US
Practice Address - Phone:501-227-7688
Practice Address - Fax:501-225-2930
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC5546207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARD17178Medicare UPIN
AR55685Medicare ID - Type Unspecified