Doctor Name: | WILLIAM LEROY ALGEA |
NPI Number: | 1700094059 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD009358 |
Business Practice Address: | 4771 Easley St Millington Medical Clinic Millington, TN - 380531931 |
Business Phone Number: | 9018732653 |
Business Fax Number: | 9018730388 |
Mailing Address: | 1561 Cuba Millington Road, MILLINGTON |
State: | TN |
Postal Code: | 380535105 |
Phone Number: | 9018766369 |
Fax Number: | 9018766369 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 02/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD009358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |