Healthcare Provider Details

I. General information

NPI: 1346408291
Provider Name (Legal Business Name): WILLIAM HEFLIN BARTON III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 04/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 VETERANS MEMORIAL PARKWAY
TUSCALOOSA AL
35404
US

IV. Provider business mailing address

619 19TH ST S
BIRMINGHAM AL
35249-1900
US

V. Phone/Fax

Practice location:
  • Phone: 205-507-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number29247
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: