Individual
WILLIAM A. EYZAGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5677 BUFORD HWY NE, STE. 210, DORAVILLE, GA 30340-1244
(678) 547-1045
(678) 547-1048
Mailing address
PO BOX 769609, ROSWELL, GA 30076-8224
(770) 730-5800
(770) 730-5803
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
014243
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000111966D
—
GA
05
—
000111966E
—
GA
05
—
000111966G
—
GA
05
—
000111966H
—
GA
Enumeration date
06/06/2006
Last updated
07/07/2010
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