Individual
DR. DONALD CLINTON WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604
(423) 439-7272
(423) 439-7235
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7272
(423) 439-7235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME30920
FL
207VM0101X
Maternal & Fetal Medicine Physician
MD57056
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039811000
—
FL
Enumeration date
02/17/2006
Last updated
09/05/2023
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