Provider Demographics
NPI:1548340953
Name:KNOX, WILLIAM JOHN III (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
Last Name:KNOX
Suffix:III
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 1:2163 NORMANDIE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111
Mailing Address - Country:US
Mailing Address - Phone:334-284-1870
Mailing Address - Fax:334-284-2112
Practice Address - Street 1:2163 NORMANDIE DRIVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111
Practice Address - Country:US
Practice Address - Phone:334-284-1870
Practice Address - Fax:334-284-2112
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9954207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10295OtherBLUE CROSS
110002378OtherRR MCARE
AL528701330Medicaid
110002378OtherRR MCARE
10295OtherBLUE CROSS