Provider Demographics
NPI:1396714408
Name:STRICKLAND, WILLIAM H JR (PA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:H
Last Name:STRICKLAND
Suffix:JR
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11740 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:BLAKELY
Mailing Address - State:GA
Mailing Address - Zip Code:39823-2574
Mailing Address - Country:US
Mailing Address - Phone:229-724-4282
Mailing Address - Fax:229-724-4283
Practice Address - Street 1:11740 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:GA
Practice Address - Zip Code:39823-2574
Practice Address - Country:US
Practice Address - Phone:229-724-4282
Practice Address - Fax:229-724-4283
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA3219363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL291026800Medicaid
GA100002046AMedicaid
970020822OtherRAILROAD MEDICARE
P35186Medicare UPIN
GA97BBGRRMedicare ID - Type Unspecified
GA970020822Medicare PIN
GA100002046AMedicaid