Primos, William Angelo
Primos, William Angelo is an individual health care provider with primary practice located at 108 Prominence Ct Ste 200 , Dawsonville GA 30534-6340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Primos, William Angelo can be contacted via phone (770) 848-6190.Contact Information
Primary practice address
108 Prominence Ct Ste 200
Dawsonville GA 30534-6340
Phone: (770) 848-6190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 39336 | North Carolina |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 42395 | Georgia |
Profile Details
| NPI number | 1528040458 |
|---|---|
| LBN Legal business name | Primos, William Angelo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Oct 16th, 2020 - about 6 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 | 1528040458 | NPPES |
| South Carolina | MEDICAID | N39665 | |
| South Carolina | MEDICAID | 813658737A | |
| South Carolina | MEDICAID | 8969208 |
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