Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 051453 | GA |
NPI | 1275616369 |
---|---|
Provider Name | Dr. William Barnard Dasher |
First Address | Macon, GA 31210-2404 |
Second Address | Macon, GA 31210-2404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 28/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000951222A | (05) | GA |
200044788 | MEDICARE RAILROAD (01) | GA |
H62727 | (02) |