Provider Demographics
NPI:1831284504
Name:INTERNAL MEDICINE SPECIALISTS P C
Entity Type:Organization
Organization Name:INTERNAL MEDICINE SPECIALISTS P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:WHITLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-355-5315
Mailing Address - Street 1:1215 7TH ST SE STE 240
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3397
Mailing Address - Country:US
Mailing Address - Phone:256-355-5315
Mailing Address - Fax:256-355-5346
Practice Address - Street 1:1215 7TH ST SE STE 240
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3397
Practice Address - Country:US
Practice Address - Phone:256-355-5315
Practice Address - Fax:256-355-5346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty