Provider Demographics
NPI:1053379495
Name:SANDERS, WILLIAM HOLT (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HOLT
Last Name:SANDERS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3340 PEACHTREE RD NE
Mailing Address - Street 2:STE 600
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1000
Mailing Address - Country:US
Mailing Address - Phone:404-266-9876
Mailing Address - Fax:404-266-2669
Practice Address - Street 1:980 JOHNSON FERRY RD NE
Practice Address - Street 2:STE 490
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1626
Practice Address - Country:US
Practice Address - Phone:404-257-0133
Practice Address - Fax:404-207-1337
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA037669208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F79934Medicare UPIN