Primos, William Angelo

Primos, William Angelo is an individual health care provider with primary practice located at 108 Prominence Ct Ste 200 , Dawsonville GA 30534-6340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Primos, William Angelo can be contacted via phone (770) 848-6190.

Contact Information

Primary practice address
108 Prominence Ct Ste 200 Dawsonville GA 30534-6340
Phone: (770) 848-6190
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 39336 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 42395 Georgia

Profile Details

NPI number 1528040458
LBN Legal business name Primos, William Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Oct 16th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528040458 NPPES
South Carolina MEDICAID N39665
South Carolina MEDICAID 813658737A
South Carolina MEDICAID 8969208

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