William Deferia, MD | |
620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | |
(478) 445-4128 | |
Not Available |
Full Name | William Deferia |
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Gender | Male |
Speciality | General Practice |
Location | 620 Broad St, Milledgeville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841202769 | NPI | - | NPPES |
00593381A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 022537 (Georgia) | Primary |
Entity Name | Department Of Behavioral Health And Developmental Disabilities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
Mailing Address | Practice Location Address |
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William Deferia, MD 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 Ph: (478) 445-4128 | William Deferia, MD 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 Ph: (478) 445-4128 |
Dr. Ernesto A Coligado, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
David D Steelman, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
Yonghua Du, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
Dr. Ikechukwu S Akunwanne, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
Dr. Wigberto Vivas, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Milledgeville, GA 31062 Phone: 478-445-4128 |