Provider Demographics
NPI:1821329269
Name:LAWSON, WILLIAM REID (PT,DPT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:REID
Last Name:LAWSON
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31546-3645
Mailing Address - Country:US
Mailing Address - Phone:912-256-0113
Mailing Address - Fax:
Practice Address - Street 1:397 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:GA
Practice Address - Zip Code:31546-3645
Practice Address - Country:US
Practice Address - Phone:912-256-0113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0003081225100000X
FLPT33312225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist