Provider Demographics
NPI:1396546610
Name:WILLIAMS-SMITH, DEMETRIA KATRICE
Entity type:Individual
Prefix:
First Name:DEMETRIA
Middle Name:KATRICE
Last Name:WILLIAMS-SMITH
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:DEMETRIA
Other - Middle Name:KATRICE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1608 U W CLEMON DRIVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35214-4454
Mailing Address - Country:US
Mailing Address - Phone:251-227-5053
Mailing Address - Fax:
Practice Address - Street 1:1608 U W CLEMON DRIVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35214-4454
Practice Address - Country:US
Practice Address - Phone:251-227-5053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-193903163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse