1023230463 NPI number — LINSEY STEADMAN WILLIAMS M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023230463 NPI number — LINSEY STEADMAN WILLIAMS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
LINSEY
Provider Middle Name:
STEADMAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STEADMA
Provider Other First Name:
LINSEY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023230463
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2811 DR JOHN HAYNES DR
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
PELL CITY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35125-1447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-884-7700
Provider Business Mailing Address Fax Number:
205-884-7602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2811 DR JOHN HAYNES DR
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
PELL CITY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35125-1447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-884-7700
Provider Business Practice Location Address Fax Number:
205-884-7602
Provider Enumeration Date:
05/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  L-2880 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 28806 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1023230463 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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