Individual
WILLIAM VERNON WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 EAGLE RIDGE DRIVE, BIRMINGHAM, AL 35242
(205) 995-1004
(205) 991-6075
Mailing address
101 EAGLE RIDGE DRIVE, BIRMINGHAM, AL 35242
(205) 995-1004
(205) 991-6075
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8924
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000026585
—
AL
01
—
51026585
BCBS OF ALABAMA
AL
Enumeration date
10/03/2006
Last updated
01/04/2016
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