Individual
WILLIAM HARELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
42 DOOLEY ST, CROSSVILLE, TN 38555-4055
(931) 707-7117
(888) 456-7965
Mailing address
42 DOOLEY ST, CROSSVILLE, TN 38555-4055
(931) 707-7117
(888) 456-7965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
939
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508389
—
TN
01
—
4064317
BCBS OF TN
TN
01
—
P00030819
RAILROAD MEDICARE
TN
Enumeration date
06/18/2006
Last updated
12/04/2014
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