Organization
EAST ALABAMA EAR, NOSE, & THROAT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RAYMOND BLYTHE M.D. (PRESIDENT)
(334) 705-0012
Entity
Organization
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
17818
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255363008
NPI FOR DR. STILES
AL
01
—
1740214626
NPI FOR DR. WHATLEY
AL
01
—
1851321053
NPI FOR DR. BLYTHE
AL
05
—
529402350
—
AL
Enumeration date
07/18/2006
Last updated
02/19/2010
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