Individual
DR. WILLIAM MATTHEW VASSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 SHERWOOD PARK DR NE STE A, GAINESVILLE, GA 30501-3444
(770) 219-3202
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01062118A
IN
2086S0127X
Trauma Surgery Physician
Primary
84759
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480122
ANTHEM BC/BS
IN
05
—
200822770
—
IN
05
—
64123482
—
KY
01
—
P00346020
RAILROAD MEDICARE
IN
Enumeration date
05/02/2006
Last updated
01/10/2020
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