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Dr. Willie Thomas Anderson III, MD
Neurology with Special Qualifications in Child Neurology Physician in Johnson City, Tennessee
NPI 1851448476

Willie Thomas Anderson III is a Neurology with Special Qualifications in Child Neurology Physician based in Johnson City, TN and is specialized in Neurology with Special Qualifications in Child Neurology. Willie Thomas Anderson III practices in Johnson City, TN and has the professional credentials of MD. The NPI Number for Willie Thomas Anderson III is 1851448476 and holds a License No. MD0000039211 (Tennessee).

The current practice location address for Willie Thomas Anderson III is 378 Marketplace Blvd Ste 10C, Johnson City, TN and can be reached out via phone at 423-431-4946.

Location: 378 Marketplace Blvd Ste 10C, Johnson City, TN, 37604-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851448476
Provider Name
Willie Thomas Anderson III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
378 Marketplace Blvd Ste 10C, Johnson City, TN, 37604-2192
Phone Number
423-431-4946
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD0000039211 01 TN STATE MEDICAL LICENSE
332756 05 TN
institution
Provider Business Practice Location Address Details
Address
378 Marketplace Blvd Ste 10C
City
Johnson City
State
Tennessee
Zip
37604-2361
Phone Number
423-431-4946
Fax Number
person
Provider Business Mailing Address Details
Address
378 Marketplace Blvd Ste 10C
City
Johnson City
State
Tennessee
Zip
37604-2361
Phone Number
423-431-4946
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
MD0000039211 (Tennessee)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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