Chisholm, William C.

Chisholm, William C. is an individual health care provider with primary practice located at 163 S Tallahassee St , Hazlehurst GA 31539-6465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chisholm, William C. can be contacted via phone (912) 375-7781.

Contact Information

Primary practice address
163 S Tallahassee St Hazlehurst GA 31539-6465
Phone: (912) 375-7781
Fax: (912) 375-4055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 033291 Georgia

Profile Details

NPI number 1114905742
LBN Legal business name Chisholm, William C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Aug 7th, 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 1114905742 NPPES
Georgia MEDICAID 00512564AA

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