Individual
WILLIAM J WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1526 MEADOW SPRING DR, JEFFERSON CITY, TN 37760-2041
(865) 475-4988
(865) 475-4350
Mailing address
1526 MEADOW SPRING DR, JEFFERSON CITY, TN 37760-2041
(865) 475-4988
(865) 475-4350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
962
TN
208000000X
Pediatrics Physician
962
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33031801
—
TN
01
—
5167078
AETNA
TN
Enumeration date
07/03/2006
Last updated
11/20/2017
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