Provider Demographics
NPI:1467503615
Name:WILLIAMS, DRAKE B (MD)
Entity Type:Individual
Prefix:DR
First Name:DRAKE
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:805 SAINT VINCENTS DR
Mailing Address - Street 2:SUITE 510
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1636
Mailing Address - Country:US
Mailing Address - Phone:205-595-5504
Mailing Address - Fax:205-592-3427
Practice Address - Street 1:7101 US HIGHWAY 90
Practice Address - Street 2:SUITE 101
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9512
Practice Address - Country:US
Practice Address - Phone:251-625-8222
Practice Address - Fax:251-625-8117
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2015-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD194312083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG18229Medicare UPIN
AL515-36458OtherBLUE CROSS PROV ID-DAPHNE
AL515-36595OtherBLUE CROSS PROV ID-IMC
ALG18229Medicare UPIN