Individual
DR. JOHN JOSEPH WALLBILLICH IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 SAINT SEBASTIAN WAY, SUITE 3-A, AUGUSTA, GA 30901-2643
(614) 293-3873
Mailing address
320 W 10TH AVE, M210 STARLING LOVING, COLUMBUS, OH 43210-1280
(614) 293-7642
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35.121625
OH
207VX0201X
Gynecologic Oncology Physician
Primary
076530
GA
Other
Enumeration date
08/30/2012
Last updated
09/13/2016
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