Bizzaro, William

Bizzaro, William is an individual health care provider with primary practice located at 2500 Hospital Blvd Suite 480, Roswell GA 30076-4907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bizzaro, William can be contacted via phone (770) 475-3085.

Contact Information

Primary practice address
2500 Hospital Blvd Suite 480 Roswell GA 30076-4907
Fax: (770) 343-8127
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 29584 Georgia

Profile Details

NPI number 1013907880
LBN Legal business name Bizzaro, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jan 20th, 2011 - about 14 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 1013907880 NPPES
Georgia MEDICAID 00350402D

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