Individual
DR. WILLIAM A TROTTER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7011 EVANS TOWN CENTER BLVD, EVANS, GA 30809-4315
(706) 724-8735
Mailing address
7011 EVANS TOWN CENTER BLVD, EVANS, GA 30809-4315
(706) 724-8735
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354099560A
—
GA
05
—
ZG2169
—
SC
Enumeration date
11/21/2005
Last updated
02/03/2017
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