Individual
WILLIAM D MCCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
135 W RAVINE RD, SUITE 5B, KINGSPORT, TN 37660-3847
(423) 224-3460
(423) 224-3465
Mailing address
PO BOX 1308, KINGSPORT, TN 37662-1308
(423) 224-3460
(423) 224-3465
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9531
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMINISTRATORS
—
05
—
2603073000
—
WV
01
—
261962
ANTHEM BCBS
—
01
—
3046122
BLUE SHIELD OF TN
—
05
—
3607752
—
TN
01
—
74299447
KY MEDICAID
KY
05
—
8922837
—
VA
01
—
TN0100
JOHN DEERE
—
Enumeration date
09/16/2005
Last updated
08/17/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us