Provider Demographics
NPI:1841239472
Name:OSBORNE, WILLIAM E (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:OSBORNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4750 WATERS AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6200
Mailing Address - Country:US
Mailing Address - Phone:912-350-5937
Mailing Address - Fax:912-350-3483
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-350-5937
Practice Address - Fax:912-350-3483
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2014-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA033664207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCG33664Medicaid
GA624558OtherWELLCARE
GA000509583BMedicaid
GA000509583DMedicaid
GA000509583EMedicaid
GA160051162OtherRR MEDICARE
GA160051162OtherRR MEDICARE
GA624558OtherWELLCARE