Individual
WILLIAM R MARSHALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
900 MOHAWK STREET, STE E, SAVANNAH, GA 31419
(912) 925-0067
(912) 925-2381
Mailing address
900 MOHAWK STREET, STE E, SAVANNAH, GA 31419
(912) 925-0067
(912) 925-2381
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
RN124279
GA
363L00000X
Nurse Practitioner
Primary
RN124279
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
995210517E
—
GA
05
—
995210517F
—
GA
05
—
995210517G
—
GA
05
—
NP0844
—
SC
Enumeration date
06/23/2006
Last updated
03/31/2021
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