Doctor Name: | MARVIN EARL WILLIAMS |
NPI Number: | 1174634000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 284 |
Business Practice Address: | 985 9th Ave Sw Suite # 405 Bessemer, AL - 350224500 |
Business Phone Number: | 2054818524 |
Business Fax Number: | 2054818820 |
Mailing Address: | Po Box 361386, BIRMINGHAM |
State: | AL |
Postal Code: | 352361386 |
Phone Number: | 2054818524 |
Fax Number: | 2054818820 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 06/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 284 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |