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Individual
DR. HENRY WILLIAM SANICOLA III
Active
Individual
DR. HENRY WILLIAM SANICOLA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
112392
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
112392
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
15868
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/25/2024
Last updated
05/20/2026
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