Individual
MR. WILLIAM BRANTLEY FRITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117
(334) 277-8330
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2051
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1054631
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05153086
BLUE CROSS
AL
05
—
051552476
—
AL
Enumeration date
05/17/2006
Last updated
01/16/2012
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