=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659415719
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MISHAEL ALVERN CATO WILLIAMS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2007
-----------------------------------------------------
Last Update Date | 02/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1313 ASHLEY RIVER ROAD
-----------------------------------------------------
City | CHARLESTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29407-5315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-766-3888
-----------------------------------------------------
Fax | 843-766-3478
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2700 TRIANA BLVD SW
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35805-4046
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-885-9708
-----------------------------------------------------
Fax | 256-883-1840
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 2522
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PTH7103
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------