Davanzo, William James

Davanzo, William James is an individual health care provider with primary practice located at 143 Follins Ln , St Simons Island GA 31522-4263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Davanzo, William James can be contacted via phone (912) 634-7714.

Contact Information

Primary practice address
143 Follins Ln St Simons Island GA 31522-4263
Phone: (912) 634-7714
Fax: (912) 634-7734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 50009 Georgia

Profile Details

NPI number 1598947970
LBN Legal business name Davanzo, William James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 28th, 2007 - about 18 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 1598947970 NPPES
Georgia MEDICAID 00091923H

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