Individual
DR. HOWARD WILLIS
Active
Individual
DR. HOWARD WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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