Green, William David

Green, William David is an individual health care provider with primary practice located at 5353 Reynolds St , Savannah GA 31405-6015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Green, William David can be contacted via phone (912) 355-7214.

Contact Information

Primary practice address
5353 Reynolds St Savannah GA 31405-6015
Phone: (912) 355-7214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 3425 Georgia

Profile Details

NPI number 1124130729
LBN Legal business name Green, William David
Credentials PAA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 21st, 2022 - about 2 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 1124130729 NPPES
Georgia MEDICAID 100001964B

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