| Willis Mccoy Privott Jr, MD | |
|
1610 Opelika Rd, Phenix City, AL 36867-3634 | |
| (334) 291-0221 | |
| (334) 291-1939 |
| Full Name | Willis Mccoy Privott Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1610 Opelika Rd, Phenix City, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700867272 | NPI | - | NPPES |
| 000639416C | Medicaid | GA | |
| 009986080 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 038916 (Georgia) | Secondary |
| 208000000X | Pediatrics | 00017192 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Willis Mccoy Privott Jr, MD 1610 Opelika Rd, Phenix City, AL 36867-3634 Ph: (334) 291-0221 | Willis Mccoy Privott Jr, MD 1610 Opelika Rd, Phenix City, AL 36867-3634 Ph: (334) 291-0221 |
Dr. Ritu Chandra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 S Railroad St, Suite A, Phenix City, AL 36867 Phone: 334-664-0463 Fax: 334-664-0466 | |
Mona Abdelmoneim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 South Railroad Street, Suite A, Phenix City, AL 36867 Phone: 334-664-0463 Fax: 334-664-0466 |