Individual
DR. WILLIAM JAMES DAVANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
143 FOLLINS LN, ST SIMONS ISLAND, GA 31522-4263
(912) 634-7714
(912) 634-7734
Mailing address
143 FOLLINS LN, ST SIMONS ISLAND, GA 31522-4263
(912) 634-7714
(912) 634-7734
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
50009
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00091923H
—
GA
Enumeration date
11/28/2007
Last updated
11/28/2007
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