| Doctor Name: | DR. WILLIAM KEVIN PEARSON |
| NPI Number: | 1013911817 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 000623 |
| Business Practice Address: | 1975 Highway 54 W Suite 205 Peachtree City, GA - 302694794 |
| Business Phone Number: | 6785619000 |
| Business Fax Number: | 7704871232 |
| Mailing Address: | 1975 Highway 54 W, Suite 205 PEACHTREE CITY |
| State: | GA |
| Postal Code: | 302694794 |
| Phone Number: | 6785619000 |
| Fax Number: | 7704871232 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 12/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |