William Bostock , Do

NPI 1558402735 - Family Medicine - 207Q00000X

NPI Details
NPI 1558402735
Enumeration Date 02/09/2007
Last Updated 06/28/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHY KATHY
Position PRACTICE MANAGER
Phone (770) 963-2967
Fax (770) 339-4585
Practice Location
771 OLD NORCROSS RD
SUITE 255
LAWRENCEVILLE GA, 30046-4386, US
Phone (770) 963-2967
Fax (770) 339-4585
Business Location
771 OLD NORCROSS RD
SUITE 255
LAWRENCEVILLE GA, 30046-4386, US
Phone (770) 963-2967
Fax (770) 339-4585
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, William Bostock , Do NPI is 1558402735, taxonomy code is 207Q00000X William Bostock , Do physically located at 771 Old Norcross Rd, Lawrenceville GA, 30046-4386. NPI Number 1033115704 has the healthcare provider type.

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1558402735 NPI number is provided on an as is basis without warranty of any kind. 1558402735 is maintained by the National Plan & Provider Enumeration System. The contents of William Bostock , Do are for informational purposes only.