Individual
WILLIAM MARTIN MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1085, ATLANTA, GA 30308-2232
(404) 681-3190
(404) 681-3193
Mailing address
550 PEACHTREE ST NE, SUITE 1085, ATLANTA, GA 30308-2232
(404) 681-3190
(404) 681-3193
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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