William A Trotter Iv (NPI# 1548243975, PAC ID# 5991716318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1548243975 |
PAC ID by PECOS | 5991716318 |
Professional Enrollment ID | I20060525000190 |
Full Name | William A Trotter Iv |
Organization Legal Name | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
Address |
7011 Evans Town Ctr Blvd Evans GA 30809-4315 |
Phone Number | 7067248735 |
Gender | M |
Credential | DDM |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 2000 |
Primary Specialty | ORAL SURGERY |
Group Practice PAC ID | 7618966573 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110028 | UNIVERSITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
7011 Evans Town Ctr Blvd, Evans, GA 30809-4315 | 7067248735 | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
101 Nut Grove Dr, North Augusta, SC 29841-2850 | 8032782050 | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
Organization Legal Name | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bradford P Huffman | Maxillofacial Surgery | Center for Oral and Maxillofacial Surgery | 101 Nut Grove Dr, North Augusta, SC 29841-2850 |
Daniel D Scott | Oral Surgery | Center for Oral and Maxillofacial Surgery | 7011 Evans Town Ctr Blvd, Evans, GA 30809-4315 |
Kyle H Oneal | Oral Surgery | Center for Oral and Maxillofacial Surgery | 7011 Evans Town Ctr Blvd, Evans, GA 30809-4315 |
Street Address |
7011 EVANS TOWN CTR BLVD |
City | EVANS |
State | GA |
Zip | 30809-4315 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel D Scott | Oral Surgery | Center for Oral and Maxillofacial Surgery | 7011 Evans Town Ctr Blvd, Evans, GA 30809-4315 |
Kyle H Oneal | Oral Surgery | Center for Oral and Maxillofacial Surgery | 7011 Evans Town Ctr Blvd, Evans, GA 30809-4315 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Wannamaker | Internal Medicine | University Medical Group LLC | 4446 Washington Eroad, Suite 7, Evans, GA 30809 |
Gena Bonitatibus | Allergy/immunology | 4350 Towne Ctr Dr, Suite 1500, Evans, GA 30809 | |
Eric J Larson | Chiropractic | 676 Mullins Colony Dr, Evans, GA 30809-0579 | |
Jonathan William Rutledge | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
Edward Austin Porubsky | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
Ralph G Owen | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
William A Wells | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
Vanitcha R Pintavorn | Allergy/immunology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
Bari F Levens | Qualified Audiologist | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
Robert T Deal | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
Find all physicians in zip 30809 |
City | EVANS |
Zip Code | 30809 |
Specialty | ORAL SURGERY |
City + Specialty | EVANS + ORAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.