Provider Demographics
NPI:1659593655
Name:WILLIAMS, EMILY (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 JONES DAIRY RD
Mailing Address - Street 2:BUILDING 500
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-6109
Mailing Address - Country:US
Mailing Address - Phone:205-295-4290
Mailing Address - Fax:205-221-9058
Practice Address - Street 1:1450 JONES DAIRY RD
Practice Address - Street 2:BUILDING 500
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-6109
Practice Address - Country:US
Practice Address - Phone:205-295-4290
Practice Address - Fax:205-221-9058
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL28021207Q00000X
ALL-2683207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine