Male or Other

William J. Degenhart MD

Ophthalmology Physician in Savannah, GA(View on Map)

Full Name

William J Degenhart MD

NPI Number

1699714139

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/06/2006

Specialties

(Taxonomies)

Code

207W00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

022538

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1026535
4720 WATERS AVE

City

Atlanta
Savannah

State

GA
GA

Postal Code

30368-0001
31404-6292

Country

US
US

Telephone Number

(912) 354-4800
(912) 354-4800

Identifiers

Identifier

10053819
349746
000222296I
1699714139
000222296M
000222296E
000222296J
000222296L
000222296K
Unknown
Unknown
Unknown
Unknown

Identifier State

GA
GA
GA
GA
GA
GA
GA
GA
GA
Unknown
Unknown
Unknown
Unknown

Identifier Issuer

AMERIGROUP
WELLCARE OF GA
MEDICAID - RINCON
MEDICARE RAILROAD
MEDICAID - RINCON
MEDICAID - STATESBORO
MEDICAID - RICHMOND HILL
MEDICAID - STATESBORO
MEDICAID- SAVANNAH
Unknown
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2017

Provider Address

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