Individual
DR. WILLIAM KEVIN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1975 HIGHWAY 54 W, SUITE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Mailing address
1975 HIGHWAY 54 W, SUITE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00455661F
—
GA
01
—
202I487652
MEDICARE PTAN
GA
Enumeration date
06/09/2005
Last updated
12/03/2015
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