Provider Demographics
NPI:1508849720
Name:BYARS, WILLIAM PERSHING JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PERSHING
Last Name:BYARS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1126 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-1810
Mailing Address - Country:US
Mailing Address - Phone:706-863-5082
Mailing Address - Fax:706-863-4082
Practice Address - Street 1:1126 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-1810
Practice Address - Country:US
Practice Address - Phone:706-863-5082
Practice Address - Fax:706-863-4082
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA20672207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00478299AMedicaid
GA00478299AMedicaid