Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 13812 | AL |
NPI | 1073531307 |
---|---|
Provider Name | William Julius Shergy |
First Address | Huntsville, AL 35801-4414 |
Second Address | Huntsville, AL 35801-4414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 24/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000018754 | (05) | AL |
51033734 | BC (01) | AL |
528600320 | (05) | AL |
C74078 | (02) | AL |