Doctor Name: | DR. WILLIAM MERRITT HUMPHREY |
NPI Number: | 1043244684 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD06278 |
Business Practice Address: | 315 N. Washington Avenue, Suite 103 Cookeville, TN - 38501 |
Business Phone Number: | 9315282443 |
Business Fax Number: | 9315281488 |
Mailing Address: | 315 N. Washington Avenue, Suite 103, COOKEVILLE |
State: | TN |
Postal Code: | 38501 |
Phone Number: | 9315282443 |
Fax Number: | 9315281488 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MD06278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |