Individual
MR. WILLIAM LEWIS TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, AGACNP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-5563
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN165626
GA
363LF0000X
Family Nurse Practitioner
RN165626
GA
Other
Enumeration date
08/28/2014
Last updated
01/22/2024
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