Provider Demographics
NPI:1598796880
Name:SLEDGE, WILLIAM WEBB (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WEBB
Last Name:SLEDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5303
Mailing Address - Country:US
Mailing Address - Phone:256-543-3496
Mailing Address - Fax:256-549-1938
Practice Address - Street 1:601 S 3RD ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5303
Practice Address - Country:US
Practice Address - Phone:256-543-3496
Practice Address - Fax:256-549-1938
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000005853OtherPTAN
AL05853OtherBCBS OF ALABAMA
AL000005853OtherPTAN