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Contact Information

WILLIAM M HUMPHREY, MD
315 N. WASHINGTON AVENUE, SUITE 103
COOKEVILLE, TN38501
 Phone: 931-528-2443
 Fax: 931-528-1488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for WILLIAM M HUMPHREY · (Male)

NPI # 1043244684
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 11/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 6278
  • TN License # MD06278
  • TN Medicaid 3193466
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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