Provider Demographics
NPI:1922290576
Name:COURTRIGHT, G WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:G
Middle Name:WILLIAM
Last Name:COURTRIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3440 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 460
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6927
Mailing Address - Country:US
Mailing Address - Phone:954-923-7440
Mailing Address - Fax:954-923-1299
Practice Address - Street 1:395 REDWOOD DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1340
Practice Address - Country:US
Practice Address - Phone:954-923-7440
Practice Address - Fax:954-923-1299
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2024-04-16
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Provider Licenses
StateLicense IDTaxonomies
CAG44886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG44886OtherSTATE LICENSE