William Lanier Nicholson, MD
Individual provider Active NPI Family Medicine Physician · Hiawassee, GA
NPI 1982867685 · NPPES record last updated Jul 3, 2008
Key facts
- NPI
- 1982867685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- GA8845 (GA)
- Practice address
- 563 Oak Ridge Drive
Hiawassee, GA 30546-2224 - Phone
- (706) 896-2832
- Fax
- (706) 896-2832
- NPI assigned
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA8845 | GA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GA8845 | GA | Yes |
Addresses
Primary practice location
563 Oak Ridge Drive
Hiawassee, GA 30546-2224
Mailing address
563 Oak Ridge Drive
Hiawassee, GA 30546-2224
Phone (706) 896-2832
Other providers in Hiawassee, GA
- Shelly McIntyre
- Tammy Renee McKenzie
- Jesse D Miller
- Terry Walter Mohr
- Dale Edward Nelson
- North Georgia Allergy Asthma & Immunology, LLC
- On the Move Physical Therapy
- Krista Lynn Parrinello
- Jena Rhea Paul
- Jaime A Pierson
All providers in Hiawassee, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.