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NPI Code Detail

MEDICARE: WILLIAM NORRIS LITTLE JR. MD

MEDICARE: WILLIAM NORRIS LITTLE JR. 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
1207R00000XInternal Medicine Physician024288GA

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 : 1760489611
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM NORRIS LITTLE JR. MD
Provider Business Mailing Address
First Line : 6175 NEWTON DR NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2690
Country : US
Telephone Number : 770-787-6900
Fax Number : 770-787-6962
Provider Business Practice Location Address
First Line : 6175 NEWTON DR NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2690
Country : US
Telephone Number : 770-787-6900
Fax Number : 770-787-6962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/08/2007

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