William Randolph Fly MD

NPI 1063473346 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1063473346
Gender Male
Enumeration Date 03/28/2006
Last Updated 07/08/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
120 HOSPITAL DR
SUITE 250
JEFFERSON CITY TN, 37760-5287, US
Phone (865) 475-4484
Fax (865) 475-1124
Business Location
120 HOSPITAL DR
SUITE 250
JEFFERSON CITY TN, 37760-5287, US
Phone (865) 475-4484
Fax (865) 475-1124
Toxanomy
Taxonomy Code 207X00000X
License State Tennessee
License Number 15794
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According to our database, Dr. William Randolph Fly MD NPI is 1063473346, taxonomy code is 207X00000X and license number is 15794, license state is located at Tennessee. William Randolph Fly MD physically located at 120 Hospital Dr, Jefferson City TN, 37760-5287. NPI Number William Randolph Fly MD has the Individual type.

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1063473346 NPI number is provided on an as is basis without warranty of any kind. 1063473346 is maintained by the National Plan & Provider Enumeration System. The contents of William Randolph Fly MD are for informational purposes only.