Provider Demographics
NPI:1053396606
Name:WILLIAMS, BRYANT FLEMING (MD)
Entity type:Individual
Prefix:DR
First Name:BRYANT
Middle Name:FLEMING
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1118 ROSS CLARK CR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-3030
Mailing Address - Country:US
Mailing Address - Phone:334-794-4159
Mailing Address - Fax:334-792-7019
Practice Address - Street 1:1118 ROSS CLARK CR
Practice Address - Street 2:SUITE 500
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3030
Practice Address - Country:US
Practice Address - Phone:334-794-4159
Practice Address - Fax:334-792-7019
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME93869208600000X
AL29570208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery