William C Lavely
Nuclear Medicine Specialist
1000 Johnson Ferry Road
Atlanta
, Georgia 30342
William C Lavely
Nuclear Medicine Specialist
1000 Johnson Ferry Road
Atlanta
, Georgia 30342
(678) 553-7793
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- William C Lavely
- 5605 Glenridge Dr Ste 325
- Atlanta, GA
- Zip : 30342-1365
- Fax : (678) 553-7793
- Phone : (678) 553-7783
Second Address
- William C Lavely
- 1000 Johnson Ferry Road
- Atlanta, GA
- Zip : 30342
- Fax : (404) 303-3747
- Phone : (404) 851-6323
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 042877 | GA |
National Provider Identifier
| NPI | 1164449146 |
|---|---|
| Provider Name | William C Lavely |
| First Address | Atlanta, GA 30342-1365 |
| Second Address | Atlanta, GA 30342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2006 |
| Last Update Date | 03/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000740693B | (05) | GA |
| 000740693B | PEACH STATE HEALTH PLAN (01) | GA |
| 10070880 | AMERIGROUP (01) | GA |
| 52670338002 | BCBS (01) | GA |
| G54520 | (02) | |
| N361611 | WELLCARE (01) | GA |
| P00340704 | RAILROAD MEDICARE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.