Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 27446 | AL |
NPI | 1023070323 |
---|---|
Provider Name | Dr. William Alan Mccrory |
First Address | Huntsville, AL 35801-4408 |
Second Address | Huntsville, AL 35801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 14/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023070323 | IND NPI (01) | |
1477599223 | GROUP NPI (01) | |
51003827 | BLUE CROSS (01) | AL |
G60643 | (02) | AL |