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Contact Information

WILLIAM C LAVELY, MD
1000 JOHNSON FERRY ROAD
ATLANTA, GA30342
 Phone: 404-851-6323
 Fax: 404-303-3747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for WILLIAM C LAVELY · (Male)

NPI Number 1164449146
Status Active
Credentials MD
Entity Individual
Enumeration date 07/16/2006
Last updated 05/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 042877
  • MD License # D0063572
  • GA Medicaid 000740693B
  • GA Other 10070880 AMERIGROUP
  • GA Other 52670338002 BCBS
  • GA Other 000740693B PEACH STATE HEALTH PLAN
  • GA Other P00340704 RAILROAD MEDICARE
  • GA Other N361611 WELLCARE
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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