Individual
WILLIAM ANDREW EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 E COURT AVE, SELMER, TN 38375-2304
(731) 645-7932
(731) 645-5195
Mailing address
270 E COURT AVE, SELMER, TN 38375-2304
(731) 645-7932
(731) 645-5195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20944
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115569
—
TN
05
—
12096
—
TN
01
—
3123018
BLUE CROSS BLUE SHIELD S
TN
01
—
3124134
BLUE CROSS BLUE SHIELD A
TN
01
—
3124135
BLUE CROSS BLUE SHIELD H
TN
05
—
3717101
—
TN
Enumeration date
06/26/2006
Last updated
07/14/2016
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