Individual
WILLIAM E MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5022 OLD GODSEY LN, SUITE 8, HIXSON, TN 37343-6604
(423) 875-0793
(423) 876-7456
Mailing address
5022 OLD GODSEY LN, SUITE 8, HIXSON, TN 37343-6600
(423) 875-0793
(423) 876-7456
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD12538
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD12538
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036108
BLUE CROSS BLUE SHIELD
TN
01
—
200002208
RAILROAD MEDICARE
TN
01
—
621205293
TAX ID
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
10/25/2006
Last updated
10/19/2010
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