Healthcare Provider Details

I. General information

NPI: 1700551462
Provider Name (Legal Business Name): NORTH ALABAMA BONE & JOINT CLINIC P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2021
Last Update Date: 10/04/2021
Certification Date: 09/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 PHYSICIANS DR STE B
MUSCLE SHOALS AL
35661-2100
US

IV. Provider business mailing address

1751 VETERANS DR STE 300
FLORENCE AL
35630-4930
US

V. Phone/Fax

Practice location:
  • Phone: 256-718-3200
  • Fax: 256-246-3297
Mailing address:
  • Phone: 256-718-3200
  • Fax: 256-246-3297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN M WILLIAMS II
Title or Position: CEO
Credential:
Phone: 256-718-3200