Individual
WILLIAM BLAKE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 RICE MINE ROAD LOOP STE 206, TUSCALOOSA, AL 35406-2418
(205) 339-0171
Mailing address
100 RICE MINE ROAD LOOP STE 206, TUSCALOOSA, AL 35406-2418
(205) 339-0171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1054
AL
Other
Enumeration date
05/20/2015
Last updated
07/21/2022
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