Individual
DR. HOWARD WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 TALBOTTON RD, SUITE B, COLUMBUS, GA 31904-8757
(706) 321-3901
(706) 321-3904
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030693
GA
302F00000X
Exclusive Provider Organization
030693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000368893E
—
GA
05
—
000368893G
—
GA
05
—
000368893H
—
GA
05
—
009900840
—
AL
01
—
673454
BCBSGA
GA
Enumeration date
07/07/2006
Last updated
08/07/2024
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