Healthcare Provider Details
I. General information
NPI: 1598811036
Provider Name (Legal Business Name): WILLIAM K. REID, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2007
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3326 ASPEN GROVE DRIVE SUITE 140
FRANKLIN TN
37067
US
IV. Provider business mailing address
3326 ASPEN GROVE DR SUITE 140
FRANKLIN TN
37067-2837
US
V. Phone/Fax
- Phone: 615-224-9799
- Fax: 615-224-9796
- Phone: 615-224-9799
- Fax: 615-224-9796
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0000X |
| Taxonomy | Hematology (Internal Medicine) Physician |
| License Number | 21135 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 21135 |
| License Number State | TN |
VIII. Authorized Official
Name:
WILLIAM
K
REID
Title or Position: PROPRIETOR
Credential: MD
Phone: 615-224-9799