Whalio Doctors

NPI 1174543821

Roger J Williams, MD

Practitioner Specialist Dothan, AL

Practice location

Address
4300 W Main St Suite 102, Dothan, AL 36305-1054
Phone
(334) 793-9564
Fax
(334) 712-1886
Mailing address
4300 W Main St STE 102, Dothan, AL 36305-1306

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 041388 (GA)

Registry record

NPI
1174543821
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jul 2006
Record last updated
4 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.