Provider Demographics
NPI:1609880194
Name:WILLIAMSON, HOWARD F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:F
Last Name:WILLIAMSON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 AL HWY 157
Mailing Address - Street 2:STE 203
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-1273
Mailing Address - Country:US
Mailing Address - Phone:256-739-4131
Mailing Address - Fax:256-736-5185
Practice Address - Street 1:1800 AL HWY 157
Practice Address - Street 2:STE 302
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-1273
Practice Address - Country:US
Practice Address - Phone:256-736-6224
Practice Address - Fax:256-736-6226
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00007342207V00000X
AL7342207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000006905Medicaid
AL090000130OtherMEDICARE SECONDARY
AL051006905OtherBLUE CROSS BLUE SHIELD
AL4044927OtherAETNA
AL7410291OtherUNITED HEALTHCARE
E869Medicare PIN
AL051006905OtherBLUE CROSS BLUE SHIELD
AL090000130OtherMEDICARE SECONDARY