Provider Demographics
NPI:1417968181
Name:WILLIAMS, ERSKINE ALPHONSE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ERSKINE
Middle Name:ALPHONSE
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 MOUNT MORIAH RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-5838
Mailing Address - Country:US
Mailing Address - Phone:901-730-1808
Mailing Address - Fax:901-249-6276
Practice Address - Street 1:5180 PARK AVE
Practice Address - Street 2:STE 275
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3521
Practice Address - Country:US
Practice Address - Phone:901-730-1808
Practice Address - Fax:901-730-1902
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001506111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2059517OtherCIGNA
1053649384OtherNPI GROUP
TN103G356719OtherPTAN GROUP
TN103I356719OtherPTAN INDIVIDUAL
TN1417968181OtherNPI
TN4262261OtherBCBS
TN4262261OtherBCBS