Provider Demographics
NPI:1316951619
Name:LAWS, WILLIAM JAMES (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JAMES
Last Name:LAWS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3025 SHRINE RD
Mailing Address - Street 2:STE 290
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4744
Mailing Address - Country:US
Mailing Address - Phone:912-267-1026
Mailing Address - Fax:912-265-5415
Practice Address - Street 1:3025 SHRINE RD
Practice Address - Street 2:STE 290
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4744
Practice Address - Country:US
Practice Address - Phone:912-267-1026
Practice Address - Fax:912-265-5415
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA19062207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00254218EMedicaid
GA1316951619OtherRR MEDICARE
GAAL8124581OtherDEA
GAAL8124581OtherDEA
GAD40418Medicare UPIN