William J. Davanzo, M.d., P.c.

NPI 1639150790 - Specialist - 174400000X

NPI Details
NPI 1639150790
Enumeration Date 11/07/2005
Last Updated 05/26/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name WILLIAM JAMES WILLIAM
Position PRESIDENT
Phone (912) 634-7714
Fax (912) 634-7734
Practice Location
143 FOLLINS LN
SAINT SIMONS ISLAND GA, 31522-4263, US
Phone (912) 634-7714
Fax (912) 634-7734
Business Location
143 FOLLINS LN
SAINT SIMONS ISLAND GA, 31522-4263, US
Phone (912) 634-7714
Fax (912) 634-7734
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 050009
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According to our database, William J. Davanzo, M.d., P.c. NPI is 1639150790, taxonomy code is 174400000X and license number is 050009, license state is located at Georgia. William J. Davanzo, M.d., P.c. physically located at 143 Follins Ln, Saint Simons Island GA, 31522-4263. NPI Number 1033115704 has the healthcare provider type.

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1639150790 NPI number is provided on an as is basis without warranty of any kind. 1639150790 is maintained by the National Plan & Provider Enumeration System. The contents of William J. Davanzo, M.d., P.c. are for informational purposes only.