Davis, William H

Davis, William H is an individual health care provider with primary practice located at 1007 Greenfield Dr , Tifton GA 31794-3795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Davis, William H can be contacted via phone (229) 382-9733.

Contact Information

Primary practice address
1007 Greenfield Dr Tifton GA 31794-3795
Phone: (229) 382-9733
Fax: (229) 387-6161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 029320 Georgia

Profile Details

NPI number 1497722193
LBN Legal business name Davis, William H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 9th, 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 1497722193 NPPES
Georgia MEDICAID 00427435A
Georgia MEDICAID 00427435C

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