Provider Demographics
NPI:1144259755
Name:DARDEN, WILLIAM ABNER JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ABNER
Last Name:DARDEN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4750 WATERS AVE
Mailing Address - Street 2:STE 500
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6200
Mailing Address - Country:US
Mailing Address - Phone:912-352-8346
Mailing Address - Fax:912-355-1414
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:STE 500
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-352-8346
Practice Address - Fax:912-355-1414
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA023937208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000244043GMedicaid
GA000244043HMedicaid
GAD29236Medicare UPIN
GA000244043GMedicaid
GA02BDFHGMedicare ID - Type Unspecified
GA202I021323Medicare PIN