Provider Demographics
NPI:1619231321
Name:TOWNSEND, WILLIAM BLAIR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BLAIR
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:325 HAWTHORNE LN STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2536
Mailing Address - Country:US
Mailing Address - Phone:704-372-5180
Mailing Address - Fax:704-376-6280
Practice Address - Street 1:325 HAWTHORNE LN STE 300
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2536
Practice Address - Country:US
Practice Address - Phone:704-372-5180
Practice Address - Fax:704-376-6280
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA172162208800000X
NC2022-00642208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology