Individual provider · Type 1 NPI

William Devon Roots, (CSFA0 (CST)

Surgical Physician Assistant · Stockbridge, GA

NPI number 1700690948 Active

Practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Call (678) 604-1000 Map

Mailing address

2101 Autumn Chase Dr
Stockbridge, GA 30281-9204

Other practice locations

  • 1412 Milstead Ave NE, Conyers, GA 30012-3877 · (770) 918-3000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X200854 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1700690948

William Devon Roots, (CSFA0 (CST)'s National Provider Identifier is 1700690948, issued on Feb 6, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stockbridge, GA. The record was last updated on Feb 6, 2025.