Baxley, William W

Baxley, William W is an sole proprietor health care provider with primary practice located at 818 Forsyth Street , Macon GA 31201-2139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Baxley, William W can be contacted via phone (478) 633-7010.

Contact Information

Primary practice address
818 Forsyth Street Macon GA 31201-2139
Phone: (478) 633-7010
Fax: (478) 633-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 014029 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 14029 Georgia

Profile Details

NPI number 1881774982
LBN Legal business name Baxley, William W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jan 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881774982 NPPES
Georgia Other P00024532 RR MEDICARE
Georgia MEDICAID 00093651C RR MEDICARE

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