Provider Demographics
NPI:1902000508
Name:WILLIAMS, GREGORY LAMAR (MS)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:LAMAR
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 882
Mailing Address - Street 2:
Mailing Address - City:BYNUM
Mailing Address - State:AL
Mailing Address - Zip Code:36253-0882
Mailing Address - Country:US
Mailing Address - Phone:586-549-4165
Mailing Address - Fax:
Practice Address - Street 1:7 E 13TH ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4601
Practice Address - Country:US
Practice Address - Phone:256-237-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional