Basic Information
| Provider Information | |||||||||
| NPI: | 1174969786 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WILLIAM L. HARVEY, MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 415000-MSC 410827 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372410827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8656706199 | ||||||||
| FaxNumber: | 8656706198 | ||||||||
| Practice Location | |||||||||
| Address1: | 602 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | SWEETWATER | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378742708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4233373757 | ||||||||
| FaxNumber: | 4233373867 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2013 | ||||||||
| LastUpdateDate: | 06/20/2013 | ||||||||
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| AuthorizedOfficialLastName: | HARVEY | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4233373757 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.