Individual
DR. WILLIAM MERRITT HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 N. WASHINGTON AVENUE, SUITE 103, COOKEVILLE, TN 38501
(931) 528-2443
(931) 528-1488
Mailing address
315 N. WASHINGTON AVENUE, SUITE 103, COOKEVILLE, TN 38501
(931) 528-2443
(931) 528-1488
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD06278
TN
208D00000X
General Practice Physician
6278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3193466
—
TN
Enumeration date
07/10/2006
Last updated
11/09/2016
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