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Contact Information

WILLIAM A PRIMOS JR, MD
108 PROMINENCE COURT
DAWSONVILLE, GA30534
 Phone: 706-344-6942
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM A PRIMOS JR · (Male)

NPI # 1528040458
Status Active
Credentials MD
Entity Individual
Enumeration date 11/16/2005
Last updated 10/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 42395
  • NC License # 39336
  • GA Medicaid 813658737A
  • NC Medicaid 8969208
  • SC Medicaid N39665
Hospital affiliation(s)
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
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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