Pearson, William Kevin

Pearson, William Kevin is an individual health care provider with primary practice located at 1975 Highway 54 W Suite 205, Peachtree City GA 30269-4794. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Pearson, William Kevin can be contacted via phone (678) 561-9000.

Contact Information

Primary practice address
1975 Highway 54 W Suite 205 Peachtree City GA 30269-4794
Phone: (678) 561-9000
Fax: (770) 487-1232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000623 Georgia

Profile Details

NPI number 1013911817
LBN Legal business name Pearson, William Kevin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 3rd, 2015 - about 9 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 1013911817 NPPES
Georgia Other 202I487652 MEDICARE PTAN
Georgia MEDICAID 00455661F MEDICARE PTAN

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