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Individual

WILLIAM DAVID DUNAVANT III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 W POPLAR AVE STE 304, COLLIERVILLE, TN 38017-0601
(901) 767-8301
(901) 767-8302
Mailing address
PO BOX 381795, GERMANTOWN, TN 38183-1795
(901) 767-8301
(901) 767-8302

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TNMD0000035284
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4014338
BLUE CROSS OF TN
TN
01
7750269
AETNA
TN
Enumeration date
11/08/2006
Last updated
09/29/2020
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