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DR. WILLIAM JAMES DAVANZO M.D.

Nephrology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1598947970

Individual Registrant:
DR. WILLIAM JAMES DAVANZO M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
143 FOLLINS LN  ST SIMONS ISLAND, GA 31522-4263 US
Tel: 912-634-7714  Fax: 912-634-7734

Contact information for business:
143 FOLLINS LN  ST SIMONS ISLAND, GA 31522-4263 US
Tel: 912-634-7714  Fax: 912-634-7734

Registration Information:
NPI: 1598947970
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RN0300XAllopathic & Osteopathic Physicians
Internal Medicine
Nephrology
GA50009

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00091923HGA05




HEALTH CARE JOBS GA - Page 1



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