Individual
WILLIAM MARTIN MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
17233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00178725B
—
GA
01
—
1705837
1ST HEALTH
—
01
—
214476
BLUE CROSS BLUE SHIELD
GA
01
—
578663
AETNA
GA
01
—
581376411
CIGNA
—
01
—
770002368
MEDICARE RR
—
Enumeration date
11/02/2006
Last updated
07/08/2007
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