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NPI Code Detail

MEDICARE: WILLIAM CARTER BRYARS M.D.

MEDICARE: WILLIAM CARTER BRYARS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician00006366AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14006465OTHERALAETNA PIN #
251511125OTHERALBLUE CROSS AL PROVIDER #
3C71175OTHERALHEALTHSPRING PROVIDER #
451034497OTHERALBLUE CROSS PROVIDER #

General Provider Information

NPI Number : 1366445223
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CARTER BRYARS M.D.
Provider Business Mailing Address
First Line : 2880 DAUPHIN ST
Second Line :
City : MOBILE
State : AL
Zip : 36606-2457
Country : US
Telephone Number : 251-473-1900
Fax Number : 251-470-8943
Provider Business Practice Location Address
First Line : 2880 DAUPHIN ST
Second Line :
City : MOBILE
State : AL
Zip : 36606-2457
Country : US
Telephone Number : 251-473-1900
Fax Number : 251-470-8943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 11/19/2007

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Directions to “ WILLIAM CARTER BRYARS M.D.” Practice Location

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