Provider Demographics
NPI:1013942291
Name:MORETZ, WILLIAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:MORETZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:818 SAINT SEBASTIAN WAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2651
Mailing Address - Country:US
Mailing Address - Phone:706-724-0668
Mailing Address - Fax:706-724-1124
Practice Address - Street 1:818 SAINT SEBASTIAN WAY
Practice Address - Street 2:SUITE 204
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2651
Practice Address - Country:US
Practice Address - Phone:706-724-0668
Practice Address - Fax:706-724-1124
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA24465207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAB04449Medicare UPIN