Individual
WILLIAM J LAGALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-2660
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-2660
(706) 475-2662
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
1432
AR
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
259734
NY
207Q00000X
Family Medicine Physician
85256
GA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
85256
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132919003
—
AR
01
—
P00699654
RAILROAD MEDICARE
—
Enumeration date
07/04/2006
Last updated
01/14/2025
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