William J. Davanzo, M.D., P.C.
LBN: William J. Davanzo, M.D., P.C.
William J. Davanzo, M.D., P.C. is an health care organization with primary practice located at 143 Follins Ln , Saint Simons Island GA 31522-4263. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
William J. Davanzo, M.D., P.C. can be contacted via phone (912) 634-7714, or through Davanzo, William James via phone (912) 634-7714.
Contact Information
Primary practice address
143 Follins Ln
Saint Simons Island GA 31522-4263
Phone: (912) 634-7714
Fax: (912) 634-7734
Website:
Authorized official contact:
Name: Davanzo, William James Doctor of Medicine (MD)
Phone: (912) 634-7714
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 050009 | Georgia |
Profile Details
| NPI number | 1639150790 |
|---|---|
| LBN Legal business name | William J. Davanzo, M.D., P.C. |
| DBA Doing business as | |
| Authorized official | Davanzo, William James Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | May 26th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639150790 | NPPES |
| Georgia | MEDICAID | 000919234J | |
| Georgia | MEDICAID | 000919234H | |
| Georgia | Other | DB1236 | |
| Georgia | MEDICAID | 000919234I |
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