| Williams Medical Services, Llc | |
|
3835 Watermelon Rd Ste E Northport AL 35473-5003 | |
| (205) 331-4903 | |
| (205) 331-4914 |
| Full Name | Williams Medical Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3835 Watermelon Rd Ste E, Northport, Alabama |
| Authorized Official Name and Position | David L Williams (OWNER) |
| Authorized Official Contact | 2053314903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Medical Services, Llc 3835 Watermelon Rd Ste E Northport AL 35473-5003 Ph: (205) 331-4903 | Williams Medical Services, Llc 3835 Watermelon Rd Ste E Northport AL 35473-5003 Ph: (205) 331-4903 |
| NPI Number | 1780315440 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Medicare PECOS PAC ID | 6608256128 |
|---|---|
| Medicare Enrollment ID | O20220630000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780315440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth W Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922177237 PECOS PAC ID: 8426156704 Enrollment ID: I20070611000269 |
| Provider Name | David L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851485122 PECOS PAC ID: 9335248731 Enrollment ID: I20070626000637 |
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