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WILLIAM JAY MEGGINSON PT
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1457375560
Individual Registrant: WILLIAM JAY MEGGINSON PT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
7048 JEWETT STREET MONTROSE, AL 36559-0866 US
Tel: 251-929-3646 Fax: --
Tel: 251-929-3646 Fax: --
Contact information for business:
7048 JEWETT STREET P.O. BOX 866 MONTROSE, AL 36559 US
Tel: 251-929-3646 Fax: --
Tel: 251-929-3646 Fax: --
Registration Information:
NPI: 1457375560
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | AL | PTH3138 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 890013700 | AL | 05 | |
| BCBS | 510-02125 | AL | 01 |
