Healthcare Provider Details

I. General information

NPI: 1801897269
Provider Name (Legal Business Name): ROBERT MCLAIN WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 11/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E MEMORIAL AVE PHYSICIANS OFFICE BUILDING
OPP AL
36467-1704
US

IV. Provider business mailing address

103 E MEMORIAL AVE PHYSICIANS OFFICE BUILDING
OPP AL
36467-1704
US

V. Phone/Fax

Practice location:
  • Phone: 334-493-7930
  • Fax: 334-493-3384
Mailing address:
  • Phone: 334-493-7930
  • Fax: 334-493-3384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00013653
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM-8671
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: