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Individual
DR. WILLIE D EPPS JR.
Active
Individual
DR. WILLIE D EPPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57965
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504598094C
—
GA
05
—
504598094D
—
GA
01
—
52210441-001
BCBS-URGENTONE-SAVANNAH
GA
01
—
52210441-002
BCBS-URGENTONE-POOLER
GA
01
—
582203199-004
TRICARE-URGENTONE-SAVANNAH
—
01
—
582203199-009
TRICARE-URGENTONE-POOLER
—
05
—
G57965
—
SC
01
—
P00394395
RR MEDICARE
GA
Enumeration date
06/24/2006
Last updated
07/21/2022
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