| William Deferia, MD | |
|
620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | |
| (478) 445-4128 | |
| Not Available |
| Full Name | William Deferia |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 620 Broad St, Milledgeville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841202769 | NPI | - | NPPES |
| 00593381A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 022537 (Georgia) | Primary |
| Entity Name | Department Of Behavioral Health And Developmental Disabilities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
| Mailing Address | Practice Location Address |
|---|---|
| William Deferia, MD 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 Ph: (478) 445-4128 | William Deferia, MD 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 Ph: (478) 445-4128 |
Dr. Ernesto A Coligado, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
David D Steelman, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
Yonghua Du, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
Dr. Ikechukwu S Akunwanne, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
Dr. Wigberto Vivas, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Milledgeville, GA 31062 Phone: 478-445-4128 |