Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME93869 | FL |
N | 208600000X | Surgeon | ME93869 | FL |
Y | 208800000X | Urologist | 29570 | AL |
NPI | 1053396606 |
---|---|
Provider Name | Dr. Bryant Fleming Williams |
First Address | Dothan, AL 36301-3030 |
Second Address | Dothan, AL 36301-3030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 03/06/2009 |