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William J. Davanzo, M.d., P.c.
Specialist in Saint Simons Island, Georgia
NPI 1639150790

William J. Davanzo, M.d., P.c. is a Specialist based in Saint Simons Island, GA. William J. Davanzo, M.d., P.c. practices in Saint Simons Island, GA. The NPI Number for William J. Davanzo, M.d., P.c. is 1639150790 and holds a License No. 050009 (Georgia).

The current practice location address for William J. Davanzo, M.d., P.c. is 143 Follins Ln, Saint Simons Island, GA and can be reached out via phone at 912-634-7714 and via fax at 912-634-7734.

Location: 143 Follins Ln, Saint Simons Island, GA, 31522-4263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639150790
Provider Name
William J. Davanzo, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
143 Follins Ln, Saint Simons Island, GA, 31522-4263
Phone Number
912-634-7714
Fax Number
912-634-7734
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000919234J 05 GA
000919234H 05 GA
DB1236 01 GA RAILROAD MEDICARE
000919234I 05 GA
institution
Provider Business Practice Location Address Details
Address
143 Follins Ln
City
Saint Simons Island
State
Georgia
Zip
31522-4263
Phone Number
912-634-7714
Fax Number
912-634-7734
person
Provider Business Mailing Address Details
Address
143 Follins Ln
City
Saint Simons Island
State
Georgia
Zip
31522-4263
Phone Number
912-634-7714
Fax Number
912-634-7734
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
050009 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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