# WILLIAM MARTIN MCKINNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477631885
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 17233 | GA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00178725B | — | GA |
| 01 | — | 1705837 | 1ST HEALTH | — |
| 01 | — | 214476 | BLUE CROSS BLUE SHIELD | GA |
| 01 | — | 578663 | AETNA | GA |
| 01 | — | 581376411 | CIGNA | — |
| 01 | — | 770002368 | MEDICARE RR | — |