Provider Demographics
NPI:1902908536
Name:ABSI, W. JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:W.
Middle Name:JOSEPH
Last Name:ABSI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4485 S COBB DR SE STE 100
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6957
Mailing Address - Country:US
Mailing Address - Phone:404-768-1133
Mailing Address - Fax:404-768-0309
Practice Address - Street 1:4485 S COBB DR SE STE 100
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6957
Practice Address - Country:US
Practice Address - Phone:404-768-1133
Practice Address - Fax:404-768-0309
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2020-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA044661207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA200044916OtherRAILROAD MEDICARE
GA52702670005OtherBLUE CROSS OF GA
GA4190057OtherCIGNA
GA7439027OtherAETNA
GA0902271OtherUNITED HEALTHCARE
GA174249OtherCOVENTRY HEALTH
GA7102000GA30344OtherBLUE CROSS OF MI
1871776922OtherGROUP NPI
GA361770600OtherDEPT OF LABOR
GA309294OtherWELL CARE
GA7102000GA30344OtherBLUE CROSS OF MI
G74504Medicare UPIN