Individual
WILLIAM C. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4114 PATTENTOWN RD, OOLTEWAH, TN 37363-7043
(423) 899-6571
Mailing address
PO BOX 389, OOLTEWAH, TN 37363-0389
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO 1292
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009969600
—
AL
05
—
3305907
—
TN
05
—
3305908
—
TN
01
—
4025280
BCBS OF TENNESSEE
TN
01
—
4154446
BLUE CROSS
TN
01
—
P00208423
RAILROAD MEDICARE
TN
Enumeration date
06/27/2006
Last updated
08/03/2010
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