Provider Demographics
NPI:1396837027
Name:WILLIAMS, C STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:C
Middle Name:STEPHEN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:CLARENCE
Other - Middle Name:S
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:936 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3530
Mailing Address - Country:US
Mailing Address - Phone:615-889-1941
Mailing Address - Fax:615-391-5536
Practice Address - Street 1:936 ALLEN RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3530
Practice Address - Country:US
Practice Address - Phone:615-889-1941
Practice Address - Fax:615-391-5536
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC000189111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health