Organization

Clinton Scott Williams, Md/pc

Family Medicine Physician in Huntsville, AL(View on Map)

Legal Business Name

Clinton Scott Williams, Md/pc

NPI Number

1982916706

NPI Type

Organization

Enumeration Date

07/09/2010

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

21249

Contact
Information

Purpose

Mailing
Location

Address

420 LOWELL DR SE
420 LOWELL DR SE

City

Huntsville
Huntsville

State

AL
AL

Postal Code

35801-3754
35801-3754

Country

US
US

Telephone Number

(256) 535-5940
(256) 535-5957

Authorized Official

Name

Clinton Williams

Title or Position

PRESIDENT

Telephone Number

(256) 535-5957

Identifiers

Identifier

0005509737
080142310
510-08592

Identifier State

AL
AL
AL

Identifier Issuer

AETNA
RAILROAD MEDICARE
BLUE CROSS & BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/20/2018

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