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NPI Code Detail

MEDICARE: DR. MATTHEW PARKER WILLIS MD

MEDICARE: DR. MATTHEW PARKER WILLIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician45623TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912027491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW PARKER WILLIS MD
Provider Business Mailing Address
First Line : 2400 PATTERSON ST STE 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2385
Country : US
Telephone Number : 615-342-0038
Fax Number : 615-329-4469
Provider Business Practice Location Address
First Line : 2400 PATTERSON ST STE 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2385
Country : US
Telephone Number : 615-342-0038
Fax Number : 615-329-4469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 08/24/2023

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Directions to “ DR. MATTHEW PARKER WILLIS MD” Practice Location

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