Individual
DR. WILLIAM MICHAEL QUERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 N OAK ST, BUILDING E, VALDOSTA, GA 31602-1744
(229) 333-9729
(229) 333-0832
Mailing address
PO BOX 3670, VALDOSTA, GA 31604-3670
(229) 333-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
038336
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000595163A
—
GA
Enumeration date
11/07/2005
Last updated
01/12/2011
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