Individual
MR. ERIC WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852836933A
—
GA
Enumeration date
05/05/2006
Last updated
12/02/2009
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