Provider Demographics
NPI:1760489611
Name:LITTLE, WILLIAM NORRIS JR (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:NORRIS
Last Name:LITTLE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6175 NEWTON DR NE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-2690
Mailing Address - Country:US
Mailing Address - Phone:770-787-6900
Mailing Address - Fax:770-787-6962
Practice Address - Street 1:6175 NEWTON DR NE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2690
Practice Address - Country:US
Practice Address - Phone:770-787-6900
Practice Address - Fax:770-787-6962
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA024288207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00253448BMedicaid
GA00253448BMedicaid