Individual
WILLIAM MATTHEW FALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
180 MEDICAL STREET, SNEAD, AL 35952
(205) 466-7114
(205) 466-3350
Mailing address
180 MEDICAL ST, SNEAD, AL 35952-6468
(205) 466-7114
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-527
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910399
—
AL
05
—
541003888
—
AL
01
—
F020
SNEAD MEDICARE GROUP #
AL
Enumeration date
06/27/2007
Last updated
09/22/2014
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