Individual
DR. WILLIAM MACHESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 MANCHESTER EXPY STE 1003, COLUMBUS, GA 31904-6877
(706) 323-5552
(706) 324-5695
Mailing address
PO BOX 9006, COLUMBUS, GA 31908-9006
(706) 323-5552
(706) 323-5552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28038
GA
207RC0000X
Cardiovascular Disease Physician
Primary
028038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000311583K
—
GA
01
—
12522
LICENSE
AL
05
—
168798
—
AL
01
—
28038
LICENSE
GA
Enumeration date
01/20/2006
Last updated
05/20/2020
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