Williams, Deray Junior

Williams, Deray Junior is an individual health care provider with primary practice located at 875 Friendship Rd , Tallassee AL 36078. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Williams, Deray Junior can be contacted via phone (334) 283-3111.

Contact Information

Primary practice address
875 Friendship Rd Tallassee AL 36078
Phone: (334) 283-3111
Fax: (334) 283-1060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-130381 Alabama

Profile Details

NPI number 1073067856
LBN Legal business name Williams, Deray Junior
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2016
Last updated Mar 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073067856 NPPES
Alabama MEDICAID 236250

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