MEDICARE: DR. WILLIAM L FOREHAND III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	88419	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1235513607	OTHER	GA	NPI NUMBER

General Provider Information

NPI Number	:	1235513607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM L FOREHAND III M.D.

Provider Business Mailing Address
First Line	:	531 ROSELANE ST NW STE 710
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30060-6975
Country	:	US
Telephone Number	:	678-331-3297
Fax Number	:	678-581-7187

Provider Business Practice Location Address
First Line	:	144 BILL CARRUTH PKWY STE 3100
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-3819
Country	:	US
Telephone Number	:	678-363-1940
Fax Number	:	678-581-7110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2015
Last Update Date	:	10/27/2021

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