| Doctor Name: | WILLIAM A. EYZAGUIRRE |
| NPI Number: | 1730128638 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 014243 |
| Business Practice Address: | 5677 Buford Hwy Ne Ste. 210 Doraville, GA - 303401244 |
| Business Phone Number: | 6785471045 |
| Business Fax Number: | 6785471048 |
| Mailing Address: | Po Box 769609, ROSWELL |
| State: | GA |
| Postal Code: | 300768224 |
| Phone Number: | 7707305800 |
| Fax Number: | 7707305803 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 07/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 014243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |