Individual
WILLIAM JASON SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3900
Mailing address
5620 SEMINOLE WAY, ACWORTH, GA 30102-5948
(770) 573-1781
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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