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General NPI Number Information
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NPI Number | 1982916706
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Entity Type | Organization
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Legal Business Name | CLINTON SCOTT WILLIAMS, MD/PC
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 420 LOWELL DR SE SUITE 107
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3754
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Country | US
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Telephone | 256-535-5957
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Fax | 256-535-3113
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Provider Business Mailing Address
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Address Line | 420 LOWELL DR SE SUITE 103
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3754
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Country | US
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Telephone | 256-535-5940
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Fax | 256-535-5954
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLINTON SCOTT WILLIAMS
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Credential | M.D.
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Telephone | 256-535-5957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21249
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License Number State | AL
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