Healthcare Provider Details

I. General information

NPI: 1104883859
Provider Name (Legal Business Name): WILLIAM E SILVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 JOHNSON FY RD NE STE 110
ATLANTA GA
30342-1626
US

IV. Provider business mailing address

980 JOHNSON FY RD NE STE 110
ATLANTA GA
30342-1626
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-5428
  • Fax: 404-250-1881
Mailing address:
  • Phone: 404-256-5428
  • Fax: 404-250-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number010282
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: