Provider Demographics
NPI:1467400598
Name:MIDDLETON, CATHERIN WILLIAMS (DO)
Entity Type:Individual
Prefix:
First Name:CATHERIN
Middle Name:WILLIAMS
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 E SOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2003
Mailing Address - Country:US
Mailing Address - Phone:334-286-2390
Mailing Address - Fax:334-286-2397
Practice Address - Street 1:2055 E SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2001
Practice Address - Country:US
Practice Address - Phone:334-286-2390
Practice Address - Fax:334-286-2397
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO878207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL203204949OtherWORKMAN COMP
AL203204949OtherUNITED HEALTHCARE
AL009938454Medicaid
AL051535180OtherBLUE CROSS BLUE SHIELD
AL203204949OtherCOMMERICIAL PRV
AL203204949OtherCOMMERICIAL GROUP
AL203204949OtherCHAMPUS
ALP00384689OtherRAILROAD MEDICARE
AL203204949OtherUNITED HEALTHCARE
AL051535180OtherBLUE CROSS BLUE SHIELD