Archer, Gary Wilson

Archer, Gary Wilson is an individual health care provider with primary practice located at 810 Saint Vincents Dr , Birmingham AL 35205-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Archer, Gary Wilson can be contacted via phone (205) 939-7855.

Contact Information

Primary practice address
810 Saint Vincents Dr Birmingham AL 35205-1601
Phone: (205) 939-7855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 9933 Alabama

Profile Details

NPI number 1699740241
LBN Legal business name Archer, Gary Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 29th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699740241 NPPES
Alabama Other 51013095 BLUE CROSS/BLUE SHIELD
Alabama Other 51521228 BLUE CROSS/BLUE SHIELD

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