Individual
WILLIAM G IRWIN
Active
Individual
WILLIAM G IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
012172
GA
207ND0900X
Dermatopathology Physician
012172
GA
207NP0225X
Pediatric Dermatology Physician
012172
GA
207NS0135X
Procedural Dermatology Physician
012172
GA
208D00000X
General Practice Physician
012172
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007629024
—
GA
01
—
DC4061
RAILROAD MEDICARE
GA
01
—
P00167982
RAILROAD MEDICARE
GA
Enumeration date
09/08/2005
Last updated
04/23/2015
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