Healthcare Provider Details

I. General information

NPI: 1760831028
Provider Name (Legal Business Name): WILLIAM M SYKES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 MARCO DR
DECATUR AL
35603-5425
US

IV. Provider business mailing address

PO BOX 2239
DECATUR AL
35609-2239
US

V. Phone/Fax

Practice location:
  • Phone: 256-973-5650
  • Fax: 256-686-4936
Mailing address:
  • Phone: 256-973-5650
  • Fax: 256-686-4936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberDO2331
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2019-01187
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: