DAVID JOHN WILLARD


Address: 4245 Pleasant Hill Rd, Duluth, GA 30096-6332
Phone: 7706220880

DAVID JOHN WILLARD (NPI# 1629457981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629457981
Entity Type Individual
Full Name DAVID JOHN WILLARD
Practice Address 4245 Pleasant Hill Rd
Duluth
GA 30096-6332
Practice Telephone 7706220880
Mailing Telephone 7706220880
Enumeration Date 2015-05-20
Last Update Date 2020-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 7658 GA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4245 PLEASANT HILL RD
City DULUTH
State GA
Zip Code 30096-6332

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1568090868 Positive Behavior Services, Inc Behavior Technician 3765 Crestwood Pkwy Nw, Duluth, GA 30096 2020-03-31
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1083184626 Aica Orthopedics, P.C. Orthopaedic Surgery 3775 Venture Drive Bldg F, Duluth, GA 30096 2018-11-27
1245709799 Positive Impact Health Centers, Inc. Pharmacy 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 2018-11-14
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1710467857 Envision Optics LLC Optometrist 1943 Pleasant Hill Rd, Duluth, GA 30096 2018-08-17
1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699396622 Sarah Cheeney Physician Assistant 2803 E 8th St, Duluth, MN 55812-1518 2020-04-30
1144841552 Jake L Mcgraw Physician Assistant 2006 N 51st Ave E, Duluth, MN 55804-1251 2020-04-27
1053931451 Maggie Ferguson Physician Assistant 4219 Mcculloch St, Duluth, MN 55804-1934 2020-04-26
1174143093 Melissa Dybvig Physician Assistant 825 N 43rd Ave E, Duluth, MN 55804-1939 2020-04-21
1033667266 Wossen Adinew Asfaw Physician Assistant 3575 Koger Blvd Ste 116, Duluth, GA 30096-7559 2016-09-16
1992065973 Esther Maria Laucirica Physician Assistant 2159 Wynnton Point, Duluth, GA 30097 2012-05-23
1033419155 Danielle Jackson Physician Assistant 1845 Satellite Blvd Nw, Duluth, GA 30097-5256 2010-10-22
1811202534 Sharon Alston Physician Assistant 1580 Boggs Rd, 700, Duluth, GA 30096-1229 2010-08-18
1942496112 Caroline A Woods Physician Assistant 32 E 1st St, Womens Health Ctr, Duluth, MN 55802 2007-09-20
1629174057 Heidemarie C Watts Physician Assistant Department of Dermatology, 3650 Steve Reynolds Blvd, Duluth, GA 30096 2006-09-15
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City DULUTH
Zip Code 30096

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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