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Individual

DR. WILLIAM EDWIN LAVIGNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 CENTRAL AVE, SUITE 2B, AUGUSTA, GA 30904-6717
(706) 737-5939
(706) 737-6023
Mailing address
2100 CENTRAL AVE, SUITE 2B, AUGUSTA, GA 30904-6717
(706) 737-5939
(706) 737-6023

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
020231
GA
207V00000X
Obstetrics & Gynecology Physician
101596
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000258728C
GA
01
027816
BCBS
GA
05
G20231
SC
Enumeration date
01/29/2008
Last updated
04/01/2024
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