Provider Demographics
NPI:1144580861
Name:STROUD, WILLIAM RAY III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RAY
Last Name:STROUD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1874 BELTLINE RD, SW
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5541
Mailing Address - Country:US
Mailing Address - Phone:256-355-9711
Mailing Address - Fax:256-351-9717
Practice Address - Street 1:251 COX ST
Practice Address - Street 2:SUITE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3302
Practice Address - Country:US
Practice Address - Phone:251-415-1557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL33350207V00000X
AL1144580861207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALL3767ROtherALABAMA LICENSE