| Formwalt And Williams Inc | |
|
7305 Cottage Hill Road Mobile AL 36695 | |
| (251) 776-1217 | |
| (251) 776-1219 |
| Full Name | Formwalt And Williams Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7305 Cottage Hill Road, Mobile, Alabama |
| Authorized Official Name and Position | Joyelle Reed (OFFICE MANAGER) |
| Authorized Official Contact | 2517761217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Formwalt And Williams Inc Post Office Box 850818 Mobile AL 36685-0818 Ph: (251) 776-1217 | Formwalt And Williams Inc 7305 Cottage Hill Road Mobile AL 36695 Ph: (251) 776-1217 |
| NPI Number | 1043304835 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 09/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043304835 | NPI | - | NPPES |
| R38382 | Other | BC & BS DR ANNIE FORMWALT | |
| R82618 | Other | BCBS DR LUCILE T WILLIAMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 504 (Alabama) | Primary |
| 103TC0700X | Psychologist - Clinical | 593 (Alabama) | Secondary |
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