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Individual

DAVID V WILLBANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1817 W MORRIS BLVD, MORRISTOWN, TN 37813-2837
(423) 581-3904
(423) 581-6120
Mailing address
1817 W MORRIS BLVD, MORRISTOWN, TN 37813-2837
(423) 581-3904
(423) 581-6120

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6010
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3152867
TN
Enumeration date
10/04/2006
Last updated
07/08/2007
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