Provider Demographics
NPI:1427076686
Name:RODDY, WILLIAM MEYER (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MEYER
Last Name:RODDY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:201 S COURT ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5609
Mailing Address - Country:US
Mailing Address - Phone:256-768-1237
Mailing Address - Fax:256-768-1239
Practice Address - Street 1:201 S COURT ST
Practice Address - Street 2:SUITE 400
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5609
Practice Address - Country:US
Practice Address - Phone:256-768-1237
Practice Address - Fax:256-768-1239
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO541207R00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF78475Medicare UPIN