MEDICARE: DR. WILLIAM MONEIT

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	208000000X	Pediatrics Physician	034204	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	:	1316944671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MONEIT

Provider Business Mailing Address
First Line	:	2925 PREMIERE PKWY
Second Line	:	SUITE #140
City	:	DULUTH
State	:	GA
Zip	:	30097
Country	:	US
Telephone Number	:	770-495-6222
Fax Number	:	770-495-9959

Provider Business Practice Location Address
First Line	:	2925 PREMIERE PKWY
Second Line	:	SUITE #140
City	:	DULUTH
State	:	GA
Zip	:	30097
Country	:	US
Telephone Number	:	770-495-6222
Fax Number	:	770-495-9959

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	01/20/2011

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Directions to “ DR. WILLIAM MONEIT ” Practice Location

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