Provider Demographics
NPI:1548406846
Name:WILLIAMS, ADAM (CP,LP, CFO, CFTS)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:CP,LP, CFO, CFTS
Other - Prefix:
Other - First Name:NEXT
Other - Middle Name:
Other - Last Name:STEP, INC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CP
Mailing Address - Street 1:549 1ST STREET N
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8755
Mailing Address - Country:US
Mailing Address - Phone:205-664-5347
Mailing Address - Fax:205-664-9110
Practice Address - Street 1:549 1ST STREET N
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007
Practice Address - Country:US
Practice Address - Phone:205-664-5347
Practice Address - Fax:205-449-2488
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL515174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
96515OtherBLUE CROSS BLUE SHIELD
AL123719Medicaid