Provider Demographics
NPI:1801895909
Name:BARBER, WILLIAM ALAN (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALAN
Last Name:BARBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:A
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:77 COLLIER RD NW
Mailing Address - Street 2:SUITE 2050
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1764
Mailing Address - Country:US
Mailing Address - Phone:404-351-1002
Mailing Address - Fax:404-350-8290
Practice Address - Street 1:77 COLLIER RD NW
Practice Address - Street 2:SUITE 2050
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1764
Practice Address - Country:US
Practice Address - Phone:404-351-1002
Practice Address - Fax:404-350-8290
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025525208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D39346Medicare UPIN
02BBCLLMedicare ID - Type Unspecified