Willman, Michael Roy

Willman, Michael Roy is an individual health care provider with primary practice located at 2377 Lenora Church Rd , Snellville GA 30078-3232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Willman, Michael Roy can be contacted via phone (770) 979-2020.

Contact Information

Primary practice address
2377 Lenora Church Rd Snellville GA 30078-3232
Fax: (770) 978-3321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 74796 Georgia

Profile Details

NPI number 1033103916
LBN Legal business name Willman, Michael Roy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Feb 19th, 2016 - about 8 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 1033103916 NPPES
Georgia MEDICAID 003171727A

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