Wiley, William Baxter

Wiley, William Baxter is an individual health care provider with primary practice located at 3051 Watson Blvd Suite 525, Warner Robins GA 31093-8536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wiley, William Baxter can be contacted via phone (478) 953-4563.

Contact Information

Primary practice address
3051 Watson Blvd Suite 525 Warner Robins GA 31093-8536
Phone: (478) 953-4563
Fax: (478) 953-4683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 052855 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 052855 Georgia

Profile Details

NPI number 1427014570
LBN Legal business name Wiley, William Baxter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 14th, 2012 - about 13 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 1427014570 NPPES
Georgia MEDICAID 655310012C
Georgia MEDICAID 655310012A FT. V-B

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