Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 1900 | AL |
NPI | 1225147507 |
---|---|
Provider Name | Dr. William Cary Alderman |
First Address | Dothan, AL 36303-2962 |
Second Address | Dothan, AL 36303-2962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51502405 | BLUE CROSS (01) | AL |
U73981 | (02) | AL |