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Individual

DR. WILLIAM RANDOLPH FLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
381 KUHN LN, MORRISTOWN, TN 37813-1172
(865) 475-4484
(865) 475-1124
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15794
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200046272
RAILROAD MEDICARE
GA
01
2577295
CIGNA
01
6004897
BLUECROSS BLUESHIELD
TN
01
7962437
AETNA
TN
01
P01315239
RAILROAD MEDICARE
TN
05
Q001842
TN
Enumeration date
03/28/2006
Last updated
01/14/2026
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