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Individual

DR. WILLIAM DOUGLAS SUDDUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 329-7543
Mailing address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 329-7543

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00005157
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051007158
BLUE CROSS BLUE SHIELD
AL
05
101850
AL
Enumeration date
06/01/2006
Last updated
12/27/2013
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