MEDICARE: BILL M LAW JR. 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	10240	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1720084825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILL M LAW JR. MD

Provider Business Mailing Address
First Line	:	1450 DOWELL SPRINGS BLVD
Second Line	:	SUITE 300
City	:	KNOXVILLE
State	:	TN
Zip	:	37909
Country	:	US
Telephone Number	:	865-637-8812
Fax Number	:	865-637-8865

Provider Business Practice Location Address
First Line	:	1450 DOWELL SPRINGS BLVD
Second Line	:	SUITE 300
City	:	KNOXVILLE
State	:	TN
Zip	:	37909
Country	:	US
Telephone Number	:	865-637-8812
Fax Number	:	865-637-8865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	06/18/2025

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