Provider Demographics
NPI:1306109863
Name:WILLIAMS, SANITHIA LEE (MD)
Entity type:Individual
Prefix:
First Name:SANITHIA
Middle Name:LEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 MADISON BLVD STE D102-271
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2031
Mailing Address - Country:US
Mailing Address - Phone:415-949-0591
Mailing Address - Fax:
Practice Address - Street 1:7105 BAILEY CREEK CIR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2797
Practice Address - Country:US
Practice Address - Phone:256-763-0036
Practice Address - Fax:256-763-0234
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA143090207V00000X
AL37088207V00000X
MO201207850207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology