Individual
MR. WILLIAM ELI OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1 FREEDOM WAY, VA MEDICAL CENTER, AUGUSTA, GA 30904-9928
(706) 733-0188
Mailing address
285 LOVERS LN, WAYNESBORO, GA 30830-7602
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004133
PHYSICIAN ASSISTANT LICEN
GA
Enumeration date
08/16/2006
Last updated
07/08/2007
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