Provider Demographics
NPI:1760732028
Name:MICHAEL D WILLIAMS, DO L.L.C
Entity Type:Organization
Organization Name:MICHAEL D WILLIAMS, DO L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:251-948-5101
Mailing Address - Street 1:3817 GULF SHORES PARKWAY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-2781
Mailing Address - Country:US
Mailing Address - Phone:251-948-5101
Mailing Address - Fax:251-948-5103
Practice Address - Street 1:3817 GULF SHORES PARKWAY
Practice Address - Street 2:SUITE 7
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-2781
Practice Address - Country:US
Practice Address - Phone:251-948-5101
Practice Address - Fax:251-948-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.426207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty