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DR. WILLIAM B BOHANNON DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1467439133
Individual Registrant:DR. WILLIAM B BOHANNON DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
400 E 10TH ST ANNISTON, AL 36207-4716 US
Tel: 256-741-6464 Fax: 256-231-8676
Tel: 256-741-6464 Fax: 256-231-8676
Contact information for business:
400 E 10TH ST ANNISTON, AL 36207-4716 US
Tel: 256-741-6464 Fax: 256-231-8676
Tel: 256-741-6464 Fax: 256-231-8676
Registration Information:
NPI: 1467439133
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AL | D0818 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS | 051527910 | AL | 01 |
| 051527910 | AL | 05 |
