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Organization

WAYNE ENT ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILIAM DONALD DAVIDSON M.D. (PRESIDENT)
(912) 427-7790
Entity
Organization

Contact information

Practice address
320 PEACHTREE ST, JESUP, GA 31545-0244
(912) 427-7790
(912) 427-7707
Mailing address
320 PEACHTREE ST, JESUP, GA 31545-0244
(912) 427-7790
(912) 427-7707

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
05/16/2007
Last updated
04/08/2008
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