Provider Demographics
NPI:1851469563
Name:WILLIAMS, DONALD B (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 NOTTINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-1051
Mailing Address - Country:US
Mailing Address - Phone:334-393-4686
Mailing Address - Fax:334-393-4616
Practice Address - Street 1:1018 RUCKER BLVD STE A
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-3688
Practice Address - Country:US
Practice Address - Phone:334-393-4686
Practice Address - Fax:334-393-4616
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL969AL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT68623Medicare UPIN