Deferia, William

Deferia, William is an individual health care provider with primary practice located at 620 Broad St Central State Hospital, Milledgeville GA 31062-7525. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Deferia, William can be contacted via phone (478) 445-4128.

Contact Information

Primary practice address
620 Broad St Central State Hospital Milledgeville GA 31062-7525
Phone: (478) 445-4128
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 022537 Georgia

Profile Details

NPI number 1841202769
LBN Legal business name Deferia, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1841202769 NPPES
Georgia MEDICAID 00593381A

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