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Individual

DR. WILLIAM WALTER NOYD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1755 E PARK PLACE BLVD, STONE MOUNTAIN, GA 30087-3459
(770) 469-2040
Mailing address
2742 SPICER LN, DECATUR, GA 30033-2927
(404) 315-7012

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
021187
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00203761K
GA
01
10036820
AMERIGROUP
GA
Enumeration date
05/07/2007
Last updated
07/08/2007
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