Marshall, William R

Marshall, William R is an individual health care provider with primary practice located at 900 Mohawk Street Ste E, Savannah GA 31419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Marshall, William R can be contacted via phone (912) 925-0067.

Contact Information

Primary practice address
900 Mohawk Street Ste E Savannah GA 31419
Phone: (912) 925-0067
Fax: (912) 925-2381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X RN124279 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN124279 Georgia

Profile Details

NPI number 1063448009
LBN Legal business name Marshall, William R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 31st, 2021 - about 4 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 1063448009 NPPES
Georgia MEDICAID 995210517E
Georgia MEDICAID 995210517F
Georgia MEDICAID NP0844
Georgia MEDICAID 995210517G

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