Individual
DR. WILLIAM DAVID IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 VANN DR, SUITE A, JACKSON, TN 38305-6061
(731) 668-3161
(731) 668-3162
Mailing address
1000 VANN DR, SUITE A, JACKSON, TN 38305-6061
(731) 668-3161
(731) 668-3162
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000024247
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3325382
—
TN
01
—
4097024
BLUE CROSS BLUE SHIELD
MS
Enumeration date
06/27/2005
Last updated
03/24/2009
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