Mac New, William Thomas
Mac New, William Thomas is an sole proprietor health care provider with primary practice located at 314 N Broad St Suite 250, Winder GA 30680-2191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mac New, William Thomas can be contacted via phone (770) 867-4146.Contact Information
Primary practice address
314 N Broad St Suite 250
Winder GA 30680-2191
Phone: (770) 867-4146
Fax: (770) 867-3742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21755 | Georgia |
Profile Details
| NPI number | 1104851930 |
|---|---|
| LBN Legal business name | Mac New, William Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jan 3rd, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104851930 | NPPES |
| Georgia | MEDICAID | 000253756A |
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