Provider Demographics
NPI:1407537293
Name:WILLIAMS, DANETTE
Entity Type:Individual
Prefix:
First Name:DANETTE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6789 CHAPEL HII RD
Mailing Address - Street 2:
Mailing Address - City:TOXEY
Mailing Address - State:AL
Mailing Address - Zip Code:36921
Mailing Address - Country:US
Mailing Address - Phone:205-574-0073
Mailing Address - Fax:
Practice Address - Street 1:6789 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:TOXEY
Practice Address - State:AL
Practice Address - Zip Code:36921-2027
Practice Address - Country:US
Practice Address - Phone:205-574-0073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program