Provider Demographics
NPI:1689689523
Name:GRABOWSKI, WILLIAM MICHAEL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:GRABOWSKI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WHEELER ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5710
Mailing Address - Country:US
Mailing Address - Phone:912-352-4340
Mailing Address - Fax:912-352-4616
Practice Address - Street 1:8 WHEELER ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5710
Practice Address - Country:US
Practice Address - Phone:912-352-4340
Practice Address - Fax:912-352-4616
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004807363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA004807OtherPHYSICIAN ASSISTANT