Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIS MCCOY PRIVOTT JR., M.D.
Active Sole ProprietorWILLIS MCCOY PRIVOTT JR., M.D. is a Pediatrics healthcare provider located in PHENIX CITY, Alabama. NPI 1700867272 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · PHENIX CITY, AL
Registration Details
- NPI Number
- 1700867272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2005 (20.780424253451 yrs)
- Last Updated
- Oct 3, 2012
- Licenses
-
038916 (GA)00017192 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1610 OPELIKA RDPHENIX CITY, AL, 368673634Browse AL providers · Browse ZIP 36867
- Phone
- 3342910221
- Fax
- 3342911939
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in PHENIX CITY, AL
| Name | Credential | NPI |
|---|---|---|
| DR. RITU CHANDRA | MD | 1003890849 |
| FARRAH-AMOY W. FULLERTON | MD | 1699352674 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.