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NPI Code Detail

MEDICARE: WILLIAM M SEWELL III MD

MEDICARE: WILLIAM M SEWELL III MD
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
1207V00000XObstetrics & Gynecology Physician036452GA

Other Identifiers

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

General Provider Information

NPI Number : 1720071269
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM M SEWELL III MD
Provider Business Mailing Address
First Line : 2701 MEREDYTH DR
Second Line :
City : ALBANY
State : GA
Zip : 31707-2267
Country : US
Telephone Number : 229-883-7010
Fax Number : 229-903-1585
Provider Business Practice Location Address
First Line : 2701 MEREDYTH DR
Second Line :
City : ALBANY
State : GA
Zip : 31707-2267
Country : US
Telephone Number : 229-883-7010
Fax Number : 229-903-1585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 01/31/2013

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