Individual
LARRY WILLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006997
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3031224
BCBS NUMBER
TN
05
—
3172337
—
TN
05
—
64629306
—
KY
Enumeration date
07/07/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us