Provider Demographics
NPI:1730539842
Name:WILLIAMS, MARCUS S (DC)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 ASHBY LN
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-4803
Mailing Address - Country:US
Mailing Address - Phone:850-797-8568
Mailing Address - Fax:
Practice Address - Street 1:2025 OLD MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-1606
Practice Address - Country:US
Practice Address - Phone:205-848-7333
Practice Address - Fax:205-848-8686
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2501111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor