Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | 25573 | AL |
NPI | 1073553897 |
---|---|
Provider Name | Dr. James M Corder III |
First Address | Tuscaloosa, AL 35401-2086 |
Second Address | Tuscaloosa, AL 35406-3281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 06/01/2016 |