Individual
MR. WILLIAM ANTHONY DEWERFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
35 COLLIER RD NW, SUITE 635, ATLANTA, GA 30309-1613
(404) 367-3014
(404) 367-3558
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
(404) 367-3014
(404) 368-3558
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
893382991A
—
GA
Enumeration date
12/19/2008
Last updated
04/16/2010
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