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Contact Information

JOHN J WALLBILLICH IV, MD
820 SAINT SEBASTIAN WAY
SUITE 3-A
AUGUSTA, GA30901-2643
 Phone: 614-293-3873
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JOHN J WALLBILLICH IV · (Male)

NPI # 1396094744
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2012
Last updated 09/13/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 076530
  • OH License # 35.121625
Hospital affiliation(s)
  • KARMANOS CANCER CENTER - (Acute Care)
    4100 JOHN R
    DETROIT, MI 48201
  • MCLAREN FLINT - (Acute Care)
    401 S BALLENGER HIGHWAY
    FLINT, MI 48532
  • PORT HURON HOSPITAL - (Acute Care)
    1221 PINE GROVE AVE
    PORT HURON, MI 48060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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