Individual
WILLIAM ARTHUR WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301
(731) 660-8759
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-8759
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD26833
TN
207Q00000X
Family Medicine Physician
Primary
1029454331
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3069642
BCBS
—
05
—
3800078
—
TN
Enumeration date
01/13/2006
Last updated
07/24/2018
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