Individual
WILLIAM L. MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 660-8759
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-8759
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD11915
TN
207Q00000X
Family Medicine Physician
11915
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3067910
BCBS
—
05
—
3177002
—
TN
05
—
3177007
—
TN
01
—
4135723
BCBS
—
01
—
P00109827
RR MEDICARE
—
Enumeration date
01/12/2006
Last updated
08/03/2009
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