Individual
WILLIAM J DEGENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
022538
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000222296D
MEDICAID - SAVANNAH
GA
01
—
000222296E
MEDICAID - STATESBORO
GA
01
—
000222296I
MEDICAID - RINCON
GA
01
—
000222296J
MEDICAID - RICHMOND HILL
GA
01
—
000222296K
MEDICAID- SAVANNAH
GA
01
—
000222296L
MEDICAID - STATESBORO
GA
01
—
000222296M
MEDICAID - RINCON
GA
01
—
10053819
AMERIGROUP
GA
01
—
1699714139
MEDICARE RAILROAD
GA
01
—
349746
WELLCARE OF GA
GA
01
—
511G701032
GA MEDICARE GROUP
GA
05
—
G22538
—
SC
01
—
GPA977
MEDICAID GRP. SAV
SC
Enumeration date
06/06/2006
Last updated
07/16/2025
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