Provider Demographics
NPI:1134903842
Name:GARRETT, BILLY HUDSON III
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:HUDSON
Last Name:GARRETT
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 BRYAN RD STE 360
Mailing Address - Street 2:
Mailing Address - City:SUMITON
Mailing Address - State:AL
Mailing Address - Zip Code:35148-3437
Mailing Address - Country:US
Mailing Address - Phone:205-737-1800
Mailing Address - Fax:205-737-1830
Practice Address - Street 1:385 BRYAN RD STE 360
Practice Address - Street 2:
Practice Address - City:SUMITON
Practice Address - State:AL
Practice Address - Zip Code:35148-3437
Practice Address - Country:US
Practice Address - Phone:205-737-1800
Practice Address - Fax:205-737-1830
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist