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Individual

WILLIAM CARTER BRYARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 473-1900
(251) 470-8943
Mailing address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 473-1900
(251) 470-8943

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00006366
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4006465
AETNA PIN #
AL
01
51034497
BLUE CROSS PROVIDER #
AL
01
51511125
BLUE CROSS AL PROVIDER #
AL
01
C71175
HEALTHSPRING PROVIDER #
AL
Enumeration date
05/24/2005
Last updated
11/19/2007
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