Kovalczyk, William

Kovalczyk, William is an sole proprietor health care provider with primary practice located at 148 Mission Oak Dr , Grayson GA 30017-4153. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kovalczyk, William can be contacted via phone (678) 376-5714.

Contact Information

Primary practice address
148 Mission Oak Dr Grayson GA 30017-4153

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 684 Georgia

Profile Details

NPI number 1174504872
LBN Legal business name Kovalczyk, William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Feb 7th, 2011 - about 12 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.

Request for update


All States NPI 1174504872 NPPES
Georgia MEDICAID 00521474A

Popular Providers