Provider Demographics
NPI:1851556377
Name:WESSINGER, WILLIAM N (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:N
Last Name:WESSINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 WATERS AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6200
Mailing Address - Country:US
Mailing Address - Phone:912-350-5940
Mailing Address - Fax:912-350-5991
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-350-5940
Practice Address - Fax:912-350-5991
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA023130207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
01366575OtherAMERIGROUP
SCG23130Medicaid
GAP00687381OtherRR MEDICARE
GA000233934EMedicaid
GA000233934EMedicaid