Individual
DR. WILLIAM CHAD STATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 NEWNAN CROSSING BYP STE 200, NEWNAN, GA 30263-2384
(530) 477-4480
(530) 477-4499
Mailing address
710 NEWNAN CROSSING BYP STE 200, NEWNAN, GA 30263-2384
(678) 423-7860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01064072A
IN
208600000X
Surgery Physician
Primary
077941
GA
208600000X
Surgery Physician
41092
KY
208600000X
Surgery Physician
A111162
CA
2086S0129X
Vascular Surgery Physician
01064072A
IN
2086S0129X
Vascular Surgery Physician
41092
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530699
ANTHEM
KY
05
—
200899360
—
IN
01
—
33514
MEDICAIRE ID
KY
01
—
611059472
DART
KY
01
—
611059472
UMWA
—
01
—
630980I
MEDICARE
IN
05
—
7100020120
—
KY
01
—
P00448647
RAILROAD MEDICARE
KY
Enumeration date
06/06/2007
Last updated
07/21/2022
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