Lavely, William C
Lavely, William C is an individual health care provider with primary practice located at 1000 Johnson Ferry Road , Atlanta GA 30342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Lavely, William C can be contacted via phone (404) 851-6323.Contact Information
Primary practice address
1000 Johnson Ferry Road
Atlanta GA 30342
Phone: (404) 851-6323
Fax: (404) 303-3747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0063572 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 042877 | Georgia |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 042877 | Georgia |
Profile Details
| NPI number | 1164449146 |
|---|---|
| LBN Legal business name | Lavely, William C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | May 3rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164449146 | NPPES |
| Georgia | Other | P00340704 | RAILROAD MEDICARE |
| Georgia | Other | 000740693B | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000740693B | RAILROAD MEDICARE |
| Georgia | Other | 10070880 | RAILROAD MEDICARE |
| Georgia | Other | 52670338002 | RAILROAD MEDICARE |
| Georgia | Other | N361611 | RAILROAD MEDICARE |
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