Individual
WILLIAM C DESOUZA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 DAVY CROCKETT MALL, TRENTON, TN 38382-2934
(731) 855-2803
(731) 855-1746
Mailing address
120 DAVY CROCKETT MALL, TRENTON, TN 38382-2934
(731) 855-2803
(731) 855-1746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD8493
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3174197
—
TN
Enumeration date
09/26/2005
Last updated
07/08/2007
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