Provider Demographics
NPI:1881665032
Name:STRICKLAND, WARREN LEE III (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:LEE
Last Name:STRICKLAND
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4601 WHITESBURG DR SE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1676
Mailing Address - Country:US
Mailing Address - Phone:256-880-1050
Mailing Address - Fax:256-880-7477
Practice Address - Street 1:4601 WHITESBURG DR SE
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1676
Practice Address - Country:US
Practice Address - Phone:256-880-1050
Practice Address - Fax:256-880-7477
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19435207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3048330OtherBCBS
AL510-49697OtherBCBS
AL111626Medicaid
AL111666Medicaid
4276155OtherAETNA
AL510-49297OtherBCBS
ALP00765577OtherRAILROAD MEDICARE
AL111631Medicaid
TN3892608Medicaid
AL515-99687OtherBCBS
AL111658Medicaid
AL111664Medicaid
AL510-49298OtherBCBS
AL000031070Medicaid
AL510-49698OtherBCBS
AL510-31070OtherBCBS
AL510-49296OtherBCBS
AL111629Medicaid
060037255OtherRAILROAD MEDICARE
25-10261OtherUNITED HEALTHCARE
AL510-49697OtherBCBS
AL510-49296OtherBCBS
AL510-31070OtherBCBS
AL111626Medicaid