Healthcare Provider Details

I. General information

NPI: 1023335312
Provider Name (Legal Business Name): TIMOTHY ALPHONZO WILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 W LAKESHORE DR STE 200
BIRMINGHAM AL
35209-7250
US

IV. Provider business mailing address

817 PRINCETON AVE SW POB II; SUITE 210
BIRMINGHAM AL
35211-1333
US

V. Phone/Fax

Practice location:
  • Phone: 205-226-5900
  • Fax: 205-226-5937
Mailing address:
  • Phone: 205-788-7572
  • Fax: 205-226-5938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number31432
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: