MEDICARE: WILLIAMS MEDICAL SUPPLY INC

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
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2002209	OTHER	TN	BLUE CROSS PROVIDER NUMBE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275518847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	5410 HOMBERG DR STE 16
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-5029
Country	:	US
Telephone Number	:	888-211-2411
Fax Number	:	615-321-5287

Provider Business Practice Location Address
First Line	:	5410 HOMBERG DR STE 16
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-5029
Country	:	US
Telephone Number	:	888-211-2411
Fax Number	:	615-321-5287

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DAVID BAXTER
Credential	:
Telephone Number	:	931-375-1775

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	06/03/2026

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Directions to “WILLIAMS MEDICAL SUPPLY INC ” Practice Location

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