Individual
WILLIAM H. WHISNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 968-1144
(423) 968-3453
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 968-1144
(423) 968-3453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8706
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216835000
—
WV
01
—
242049
ANTHEM
VA
01
—
3000066633
PGBA
—
01
—
3058544
BCBS
TN
05
—
3193423
—
TN
05
—
64771603
—
KY
05
—
7213506
—
VA
05
—
7905304
—
NC
01
—
R07104
JOHN DEERE
TN
Enumeration date
08/26/2005
Last updated
03/31/2011
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