Individual
DR. WILLIAM HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 N OAK ST, VALDOSTA, GA 31602-1744
(229) 247-2595
Mailing address
2704 N OAK ST, VALDOSTA, GA 31602-1744
(229) 247-2595
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
017528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070017719
RR MEDICARE PROVIDER ID
GA
01
—
480581
BCBS OF GA PROVIDER ID
GA
Enumeration date
08/10/2005
Last updated
01/05/2010
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