Provider Demographics
NPI:1275698516
Name:SEGAL, WILLIAM A (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:SEGAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3800 PLEASANT HILL RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1428
Mailing Address - Country:US
Mailing Address - Phone:678-584-0400
Mailing Address - Fax:678-584-0568
Practice Address - Street 1:3800 PLEASANT HILL RD
Practice Address - Street 2:SUITE 3
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1428
Practice Address - Country:US
Practice Address - Phone:678-584-0400
Practice Address - Fax:678-584-0568
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2019-10-31
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Provider Licenses
StateLicense IDTaxonomies
GA50261207W00000X
GA050261207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H16857Medicare UPIN
18BDGKXMedicare ID - Type Unspecified