DR. RANDALL MATTHEW WILLIS MD NPI 1053569145

NPI Information

NPI: 1053569145
Provider Name: DR. RANDALL MATTHEW WILLIS, MD
Classification: Preventive Medicine - 2083S0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
207 BRECHIN LN
KNOXVILLE, TN
ZIP 37909
Phone: (865) 406-4044
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DR. Randall Matthew Willis, MD is a sports medicine preventive medicine in Knoxville, TN. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. DR. Randall Matthew Willis, MD NPI is 1053569145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

207 BRECHIN LN
KNOXVILLE, TN
ZIP 37909-165
Phone: (865) 406-4044

The enumeration date for this NPI number is 9/3/2008 and was last updated on 9/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083S0010X	Preventive Medicine	Sports Medicine	14380	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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