Healthcare Provider Details

I. General information

NPI: 1801895909
Provider Name (Legal Business Name): WILLIAM ALAN BARBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: WILLIAM A BARBER M.D.

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 COLLIER RD NW SUITE 2050
ATLANTA GA
30309-1764
US

IV. Provider business mailing address

77 COLLIER RD NW SUITE 2050
ATLANTA GA
30309-1764
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-1002
  • Fax: 404-350-8290
Mailing address:
  • Phone: 404-351-1002
  • Fax: 404-350-8290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number025525
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: