Dewerff, William Anthony

Dewerff, William Anthony is an individual health care provider with primary practice located at 35 Collier Rd Nw Suite 635, Atlanta GA 30309-1613. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dewerff, William Anthony can be contacted via phone (404) 367-3014.

Contact Information

Primary practice address
35 Collier Rd Nw Suite 635 Atlanta GA 30309-1613
Fax: (404) 367-3558
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005489 Georgia

Profile Details

NPI number 1568608628
LBN Legal business name Dewerff, William Anthony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2008
Last updated Apr 16th, 2010 - about 16 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 1568608628 NPPES
Georgia MEDICAID 893382991A

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