Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | MD.38273 | AL |
NPI | 1285081463 |
---|---|
Provider Name | William Hunter Garrett |
First Address | Birmingham, AL 35205-1638 |
Second Address | Birmingham, AL 35205-1638 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2016 |
Last Update Date | 15/08/2019 |