Craven, William Moten

Craven, William Moten is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd. Kaiser Permanente Gwinnett Medical Center, Duluth GA 30096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Craven, William Moten can be contacted via phone (770) 322-7333.

Contact Information

Primary practice address
3650 Steve Reynolds Blvd. Kaiser Permanente Gwinnett Medical Center Duluth GA 30096
Phone: (770) 322-7333
Fax: (770) 322-1133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 033304 Georgia

Profile Details

NPI number 1659360568
LBN Legal business name Craven, William Moten
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 28th, 2014 - about 11 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 1659360568 NPPES
Georgia MEDICAID 0444903B

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