Provider Demographics
NPI:1265792576
Name:HUMPHRIES, WILLIAM E III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:HUMPHRIES
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:6325 HUMPHREYS BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2300
Mailing Address - Country:US
Mailing Address - Phone:901-522-7700
Mailing Address - Fax:901-259-0116
Practice Address - Street 1:6325 HUMPHREYS BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2300
Practice Address - Country:US
Practice Address - Phone:901-522-7700
Practice Address - Fax:901-259-0116
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
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Provider Licenses
StateLicense IDTaxonomies
TN48797207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN48797OtherTN MED LICENSE