Basic Information
| Provider Information | |||||||||
| NPI: | 1467503615 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | DRAKE | ||||||||
| MiddleName: | B. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 805 SAINT VINCENTS DR | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352051636 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2055955504 | ||||||||
| FaxNumber: | 2055923427 | ||||||||
| Practice Location | |||||||||
| Address1: | 7101 US HIGHWAY 90 | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | DAPHNE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365269512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516258222 | ||||||||
| FaxNumber: | 2516258117 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2007 | ||||||||
| LastUpdateDate: | 04/29/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083X0100X | MD19431 | AL | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Occupational Medicine |
No ID Information.