Provider Demographics
NPI:1568513026
Name:DYE, WILLIAM DOUGLAS (DPH)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DOUGLAS
Last Name:DYE
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 329
Mailing Address - Street 2:
Mailing Address - City:SEWANEE
Mailing Address - State:TN
Mailing Address - Zip Code:37375-0329
Mailing Address - Country:US
Mailing Address - Phone:931-598-0265
Mailing Address - Fax:
Practice Address - Street 1:340 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTEAGLE
Practice Address - State:TN
Practice Address - Zip Code:37356-3036
Practice Address - Country:US
Practice Address - Phone:931-924-2341
Practice Address - Fax:931-924-2856
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist