Anderson, William J

Anderson, William J is an individual health care provider with primary practice located at 4120 Five Forks Trickum Rd Sw , Lilburn GA 30047-3130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, William J can be contacted via phone (770) 935-9546.

Contact Information

Primary practice address
4120 Five Forks Trickum Rd Sw Lilburn GA 30047-3130
Phone: (770) 935-9546
Fax: (770) 923-1839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19364 Georgia

Profile Details

NPI number 1720192925
LBN Legal business name Anderson, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 27th, 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 1720192925 NPPES
Georgia MEDICAID 00641968D

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