Individual
WILLIAM E GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
09454
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081197
BLUE CROSS
AL
05
—
000081197
—
AL
05
—
009934738
—
AL
01
—
E45272
VIVA
AL
Enumeration date
06/19/2006
Last updated
03/16/2013
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