Willis, Samuel Andersen

Willis, Samuel Andersen is an sole proprietor health care provider with primary practice located at 3651 Wheeler Rd , Augusta GA 30909-6426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Willis, Samuel Andersen can be contacted via phone (706) 651-6080.

Contact Information

Primary practice address
3651 Wheeler Rd Augusta GA 30909-6426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 80520 Georgia

Profile Details

NPI number 1881045060
LBN Legal business name Willis, Samuel Andersen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated Jul 22nd, 2022 - 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.

Request for update

Popular Providers