Healthcare Provider Details

I. General information

NPI: 1609836857
Provider Name (Legal Business Name): SONJA GAYLE WILLIAMS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1912 COMMERCE AVE
CULLMAN AL
35055-6150
US

IV. Provider business mailing address

1600 MAIN ST E
HARTSELLE AL
35640-2059
US

V. Phone/Fax

Practice location:
  • Phone: 256-739-5595
  • Fax: 256-739-5375
Mailing address:
  • Phone: 256-754-5178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberDO.3174
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number200500798
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDO.3174
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: