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Organization
WILLIAM ABERNATHY MD PA
Active
Organization
WILLIAM ABERNATHY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ABERNATHY M. D. (DIRECTOR)
(850) 897-0030
Entity
Organization
Contact information
Practice address
4566 E HIGHWAY 20, STE. 105, NICEVILLE, FL 32578-8838
(850) 897-0030
Mailing address
4566 E HIGHWAY 20, STE. 105, NICEVILLE, FL 32578-8838
(850) 897-0030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME63600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25152
BCBS
FL
Enumeration date
11/20/2006
Last updated
11/23/2007
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