MEDICARE: NOLAN WILLIAMS DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH5744	AL

General Provider Information

NPI Number	:	1528390325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOLAN WILLIAMS DPT

Provider Business Mailing Address
First Line	:	3421 SOUTH SHADES CREST RD
Second Line	:	STE 107
City	:	HOOVER
State	:	AL
Zip	:	35244-3551
Country	:	US
Telephone Number	:	205-987-6501
Fax Number	:	205-987-6503

Provider Business Practice Location Address
First Line	:	3421 SOUTH SHADES CREST RD
Second Line	:	STE 107
City	:	HOOVER
State	:	AL
Zip	:	35244-3551
Country	:	US
Telephone Number	:	205-987-6501
Fax Number	:	205-987-6503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	02/03/2010

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Directions to “ NOLAN WILLIAMS DPT” Practice Location

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