Ackerman, William Crandall
Ackerman, William Crandall is an individual health care provider with primary practice located at 625 S Enota Dr Ne , Gainesville GA 30501-2437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ackerman, William Crandall can be contacted via phone (770) 532-0292.Contact Information
Primary practice address
625 S Enota Dr Ne
Gainesville GA 30501-2437
Phone: (770) 532-0292
Fax: (770) 533-7377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 038418 | Georgia |
Profile Details
| NPI number | 1548303993 |
|---|---|
| LBN Legal business name | Ackerman, William Crandall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548303993 | NPPES |
| Georgia | MEDICAID | 00608077A |
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