Individual
DR. WILLIAM FRANK WILLETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2122 MANCHESTER EXPY, DEPT OF PATHOLOGY, COLUMBUS, GA 31904-6878
(706) 596-4100
(706) 596-4112
Mailing address
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(912) 261-2669
(912) 261-0561
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
047174
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00837955B
—
GA
01
—
220031645
RAILROAD MEDICARE
GA
Enumeration date
02/28/2006
Last updated
08/15/2019
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