Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 080879 | GA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 40788 | SC |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MT201969 | PA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 080879 | GA |
NPI | 1538423546 |
---|---|
Provider Name | Dr. William Greer Albergotti III |
First Address | Augusta, GA 30912-0004 |
Second Address | Augusta, GA 30912-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2012 |
Last Update Date | 02/03/2021 |