Provider Demographics
NPI:1013608017
Name:ZORA WILLIAMS, JOAN ELON
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:ELON
Last Name:ZORA WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELON
Other - Middle Name:
Other - Last Name:ZORA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2425 MEDICAL CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-7756
Mailing Address - Country:US
Mailing Address - Phone:334-875-1330
Mailing Address - Fax:
Practice Address - Street 1:2425 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-7756
Practice Address - Country:US
Practice Address - Phone:334-875-1330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.007318-C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist