Individual
WILLIAM NABORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
030841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030841
MEDICAL LICENSE
GA
01
—
203543680
VYTRA HEALTH PLAN
GA
01
—
203543680
PREFERREDCARE
NY
01
—
4140464
AETNAUS HEALTHCARE
GA
01
—
52550572
BCBS QCARE
GA
01
—
611747900
US DEPT OF LABOR WC
GA
01
—
AH01
ENVOY SITE
GA
01
—
BCBS
904116
GA
01
—
P00278300
RAILROAD MEDICARE
GA
01
—
P3680249
OXFORD
GA
Enumeration date
08/08/2006
Last updated
03/07/2023
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