Individual
DR. WILLIAM K SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
529 MEDICAL DR, LIVINGSTON, TN 38570-1880
(931) 823-9970
Mailing address
221 N CELIA AVE, ATTN: DEBERA BARKER, MUNCIE, IN 47303-4609
(765) 282-8905
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01052108
IN
207VX0000X
Obstetrics Physician
Primary
62124
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083913
ANTHEM
IN
01
—
160049155
MEDICARE RAILROAD
IN
05
—
200240760A
—
IN
01
—
351425221101
CARESOURCE
IN
Enumeration date
12/28/2005
Last updated
06/06/2024
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