Individual
WILLIAM DEVON ROOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
(CSFA0 (CST)
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1000
Mailing address
2101 AUTUMN CHASE DR, STOCKBRIDGE, GA 30281-9204
(619) 758-5186
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
200854
GA
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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