Provider Demographics
NPI:1750576286
Name:BILLIPS, WILLIAM C (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:BILLIPS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2680 LAWRENCEVILLE HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033
Mailing Address - Country:US
Mailing Address - Phone:770-491-0123
Mailing Address - Fax:770-491-0124
Practice Address - Street 1:2680 LAWRENCEVILLE HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033
Practice Address - Country:US
Practice Address - Phone:770-491-0123
Practice Address - Fax:770-491-0124
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
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Provider Licenses
StateLicense IDTaxonomies
GA013836207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAIGE54843Medicare UPIN