Provider Demographics
NPI:1780649616
Name:BROWN, WILLIAM MORRIS III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MORRIS
Last Name:BROWN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:95 COLLIER ROAD
Mailing Address - Street 2:SUITE 5015
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309
Mailing Address - Country:US
Mailing Address - Phone:404-605-5699
Mailing Address - Fax:404-355-4235
Practice Address - Street 1:95 COLLIER ROAD
Practice Address - Street 2:SUITE 5015
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-605-5699
Practice Address - Fax:404-355-4235
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2011-03-09
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Provider Licenses
StateLicense IDTaxonomies
GA029309208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000611476EFGHIJKLMedicaid
GA2021785264Medicare PIN