Provider Demographics
NPI:1831341015
Name:WORSLEY, NORMAN ERVIN II (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ERVIN
Last Name:WORSLEY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:202 BECKY DR
Mailing Address - Street 2:
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-4302
Mailing Address - Country:US
Mailing Address - Phone:478-922-2588
Mailing Address - Fax:478-923-8760
Practice Address - Street 1:202 BECKY DR
Practice Address - Street 2:
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005-4302
Practice Address - Country:US
Practice Address - Phone:478-922-2588
Practice Address - Fax:478-923-8760
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-19
Last Update Date:2008-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA022290207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology