Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 00007332 | AL |
NPI | 1750332078 |
---|---|
Provider Name | Dr. Ronald Wayne Hillyer |
First Address | Opelika, AL 36803-2125 |
Second Address | Opelika, AL 36801-5457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 03/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000034745 | (05) | AL |
000034746 | (05) | AL |
000098565 | (05) | AL |
51034745HIL | BLUECROSS & BLUE SHIELD (01) | AL |
51034746HIL | BLUE CROSS & BLUE SHIELD (01) | AL |
C75401 | (02) | AL |