Provider Demographics
NPI:1659360568
Name:CRAVEN, WILLIAM MOTEN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MOTEN
Last Name:CRAVEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:770-322-1133
Practice Address - Street 1:3650 STEVE REYNOLDS BLVD.
Practice Address - Street 2:KAISER PERMANENTE GWINNETT MEDICAL CENTER
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096
Practice Address - Country:US
Practice Address - Phone:770-322-7333
Practice Address - Fax:770-322-1133
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2014-07-28
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Provider Licenses
StateLicense IDTaxonomies
GA033304207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0444903BMedicaid
GA0444903BMedicaid
E20757Medicare UPIN