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Individual

MR. WILLIAM LYLE MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Mailing address
210 EAST DERENNE AVENUE, SAVANNAH, GA 31405-4801
(912) 644-5300
(912) 644-5241

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003535
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002013A
GA
Enumeration date
04/26/2006
Last updated
05/26/2017
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