Provider Demographics
NPI:1194782227
Name:WILLIAM HOLT SANDERS MD PC
Entity type:Organization
Organization Name:WILLIAM HOLT SANDERS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HOLT
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-257-0133
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037669208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty