Provider Demographics
NPI:1730185489
Name:DEVOS, WILLIAM T (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:T
Last Name:DEVOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:140 OXMOOR BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5985
Mailing Address - Country:US
Mailing Address - Phone:205-224-4490
Mailing Address - Fax:205-224-4524
Practice Address - Street 1:140 OXMOOR BLVD STE 140
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-313-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13375207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALAL000007462Medicaid
ALG38086Medicare UPIN
ALAL000007462Medicaid