Provider Demographics
NPI:1982614459
Name:NABORS, WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:NABORS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5673 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:STE 910
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1731
Mailing Address - Country:US
Mailing Address - Phone:404-255-3822
Mailing Address - Fax:404-255-0495
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:STE 910
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1731
Practice Address - Country:US
Practice Address - Phone:404-255-3822
Practice Address - Fax:404-255-0495
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA030841208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA203543680OtherVYTRA HEALTH PLAN
GAP00278300OtherRAILROAD MEDICARE
GAP3680249OtherOXFORD
NY203543680OtherPREFERREDCARE
GA611747900OtherUS DEPT OF LABOR WC
GABCBSOther904116
GA030841OtherMEDICAL LICENSE
GA030841OtherMEDICARE PIN
GA4140464OtherAETNAUS HEALTHCARE
GA4140464OtherAETNAUS HEALTHCARE HMO
GA52550572OtherBCBS QCARE
GAAH01OtherENVOY SITE
GA611747900OtherWC TX-FED EMPYS
GAAN2725654OtherFEDERAL DEA
GA030841OtherMEDICARE PIN