Phillips, William

Phillips, William is an individual health care provider with primary practice located at 210 E De Renne Ave , Savannah GA 31405-6736. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Phillips, William can be contacted via phone (912) 644-5372.

Contact Information

Primary practice address
210 E De Renne Ave Savannah GA 31405-6736
Phone: (912) 644-5372
Fax: (912) 644-5260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003929 Georgia

Profile Details

NPI number 1679563613
LBN Legal business name Phillips, William
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated May 15th, 2017 - about 9 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 1679563613 NPPES
Georgia Other 003929 PA LICENSE
Georgia MEDICAID 785770219A PA LICENSE

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