Individual
WILLIAM R BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1965 1ST AVE, OPELIKA, AL 36801-5403
(334) 705-0012
(334) 705-0378
Mailing address
1965 1ST AVE, OPELIKA, AL 36801-5403
(334) 705-0012
(334) 705-0378
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00020496
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000029120
—
AL
01
—
5100022618
BCBS
AL
Enumeration date
07/03/2006
Last updated
07/08/2007
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