Individual
DR. WILLIAM WESLEY BRODWATER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2018 CLINCH AVENUE, KNOXVILLE, TN 37916
(865) 541-8266
(865) 541-8553
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
71412
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q092616
—
TN
Enumeration date
03/28/2018
Last updated
08/15/2024
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