Provider Demographics
NPI:1134127863
Name:FLEET, WILLIAM SHEPHERD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SHEPHERD
Last Name:FLEET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 MEMORIAL HOSPITAL DR
Mailing Address - Street 2:BUILDING 3, SUITE 302
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1786
Mailing Address - Country:US
Mailing Address - Phone:251-661-9587
Mailing Address - Fax:251-666-7361
Practice Address - Street 1:101 MEMORIAL HOSPITAL DR
Practice Address - Street 2:BUILDING 3, SUITE 302
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1786
Practice Address - Country:US
Practice Address - Phone:251-661-9587
Practice Address - Fax:251-666-7361
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL161842084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC74436Medicare UPIN