Basic Information
| Provider Information | |||||||||
| NPI: | 1609880194 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WILLIAMSON | ||||||||
| FirstName: | HOWARD | ||||||||
| MiddleName: | F. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1800 AL HWY 157 | ||||||||
| Address2: | STE 203 | ||||||||
| City: | CULLMAN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350581273 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567394131 | ||||||||
| FaxNumber: | 2567365185 | ||||||||
| Practice Location | |||||||||
| Address1: | 1800 AL HWY 157 | ||||||||
| Address2: | STE 302 | ||||||||
| City: | CULLMAN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350581273 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567366224 | ||||||||
| FaxNumber: | 2567366226 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2006 | ||||||||
| LastUpdateDate: | 03/07/2018 | ||||||||
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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 | 207V00000X | 00007342 | AL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 7342 | AL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 000006905 | 05 | AL | MEDICAID | 090000130 | 01 | AL | MEDICARE SECONDARY | OTHER | 051006905 | 01 | AL | BLUE CROSS BLUE SHIELD | OTHER | 4044927 | 01 | AL | AETNA | OTHER | 7410291 | 01 | AL | UNITED HEALTHCARE | OTHER |