Provider Demographics
NPI:1720039423
Name:TEER, WILLIAM P (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:TEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 UNION UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3780
Mailing Address - Country:US
Mailing Address - Phone:731-422-7999
Mailing Address - Fax:731-422-4937
Practice Address - Street 1:1320 UNION UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3780
Practice Address - Country:US
Practice Address - Phone:731-422-7999
Practice Address - Fax:731-422-4937
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN026042207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7970353OtherCIGNA HEALTHCARE
TNP00892042OtherRAILROAD MEDICARE
TN5126690OtherAETNA PROVIDER NUMBER
TN3837230Medicaid
TN4269201OtherBCBS
TN1031077473Medicare PIN
TN3837230Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER