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NPI Code Detail

MEDICARE: CARLY MASHBURN WILLIAMS CRNP

MEDICARE: CARLY MASHBURN WILLIAMS CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner1-157931AL

General Provider Information

NPI Number : 1699404111
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY MASHBURN WILLIAMS CRNP
Provider Business Mailing Address
First Line : 100 PILOT MEDICAL DR STE 300
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-3412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 PILOT MEDICAL DR STE 300
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-3412
Country : US
Telephone Number : 205-866-2284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 06/25/2026

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Directions to “ CARLY MASHBURN WILLIAMS CRNP” Practice Location

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