Individual
WILLIAM W BECKETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 FAIRVIEW AVE, DOTHAN, AL 36301-3008
(334) 793-9511
(334) 794-6412
Mailing address
2015 ALEXANDER DR, DOTHAN, AL 36301-3003
(334) 793-9511
(334) 794-6412
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
16292
AL
2085R0202X
Diagnostic Radiology Physician
Primary
16292
AL
2085R0202X
Diagnostic Radiology Physician
4301504919
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084260
—
AL
05
—
009996505
—
AL
05
—
009996515
—
AL
05
—
009996525
—
AL
Enumeration date
11/28/2005
Last updated
08/16/2021
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