Individual
WILLIAM W BAXLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 FORSYTH STREET, MACON, GA 31201-2139
(478) 633-7010
(478) 633-7585
Mailing address
P.O. BOX 28170, MACON, GA 31221-8170
(478) 254-5943
(478) 254-6093
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
014029
GA
207Y00000X
Otolaryngology Physician
Primary
14029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093651C
—
GA
01
—
P00024532
RR MEDICARE
GA
Enumeration date
10/16/2006
Last updated
01/11/2011
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