Individual
WILLIAM NIEBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 YOUNGBLOOD DR, ROSSVILLE, GA 30741-3858
(334) 714-2065
Mailing address
21 YOUNGBLOOD DR, ROSSVILLE, GA 30741-3858
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
21898
MD
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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