Doctor Name: | MR. HERBERT R WILLIAMS |
NPI Number: | 1568668564 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 1-067677 |
Business Practice Address: | 1539 Sweetie Smith Road Ashford, AL - 36312 |
Business Phone Number: | 3346918030 |
Business Fax Number: | |
Mailing Address: | 110 Sunset Dr, Sunset Acres ABBEVILLE |
State: | AL |
Postal Code: | 363105513 |
Phone Number: | 3346160285 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 1-067677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |