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William Van Wagstaff
Diagnostic Radiology Physician in Atlanta, Georgia
NPI 1790219756

William Van Wagstaff is a Diagnostic Radiology Physician based in Indianapolis, GA and is specialized in Diagnostic Radiology. William Van Wagstaff practices in Atlanta, GA. The NPI Number for William Van Wagstaff is 1790219756 and holds a License No. (Georgia).

The current practice location address for William Van Wagstaff is 1984 Peachtree Rd Nw Ste 505, Atlanta, GA and can be reached out via phone at 877-263-8651.

Location: 1984 Peachtree Rd Nw Ste 505, Atlanta, GA, 46206-2326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790219756
Provider Name
William Van Wagstaff
Credential
Provider Entity Type
Individual
Gender
Male
Address
1984 Peachtree Rd Nw Ste 505, Atlanta, GA, 46206-2326
Phone Number
877-263-8651
Fax Number
Provider Enumeration Date
04/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1984 Peachtree Rd Nw Ste 505
City
Atlanta
State
Georgia
Zip
30309-5219
Phone Number
877-263-8651
Fax Number
person
Provider Business Mailing Address Details
Address
1984 Peachtree Rd Nw Ste 505
City
Atlanta
State
Georgia
Zip
30309-5219
Phone Number
877-263-8651
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
94776 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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