MEDICARE: WILLIAM K NAGUSZEWSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	032965	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134103997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM K NAGUSZEWSKI M.D.

Provider Business Mailing Address
First Line	:	126 THREE RIVERS DR NE
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30161-4999
Country	:	US
Telephone Number	:	706-295-0070
Fax Number	:	706-290-0520

Provider Business Practice Location Address
First Line	:	126 THREE RIVERS DR NE
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30161-4999
Country	:	US
Telephone Number	:	706-295-0070
Fax Number	:	706-290-0520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	10/07/2014

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