Individual
DR. DAVID BRUCE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-4677
(931) 645-4705
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(931) 302-7620
(270) 798-8112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13164
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3155576
BCBS TN PROVIDER NO
TN
05
—
3858266
—
TN
01
—
621829635
TAX IDENTIFICATION NO
TN
Enumeration date
03/29/2007
Last updated
03/27/2025
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