Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 22947 | AL |
NPI | 1568556280 |
---|---|
Provider Name | Dr. William Peyton Shirley |
First Address | Mountain Brk, AL 35223-2809 |
Second Address | Birmingham, AL 35242-9600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 18/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
159949 | (05) | AL |
160779 | (05) | AL |
511-46495 | BLUECROSS BLUESHIELD (01) | AL |
630307306 | UNITED HEALTHCARE (01) | AL |
7639777 | AETNA (01) | AL |
8216659 | CIGNA (01) | AL |
I35803 | (02) | AL |
I35803 | VIVA HEALTH (01) | AL |