Provider Demographics
NPI:1790785749
Name:MUSE, WILLIAM S JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:MUSE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9724 KINGSTON PIKE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3347
Mailing Address - Country:US
Mailing Address - Phone:865-690-0602
Mailing Address - Fax:865-690-0515
Practice Address - Street 1:2001 LAUREL AVE
Practice Address - Street 2:SUITE 502
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1810
Practice Address - Country:US
Practice Address - Phone:865-522-6005
Practice Address - Fax:865-546-5678
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2007-12-07
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000006000208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3106057OtherBLUE CROSS
TN3106067OtherBLUE CROSS
TN3158669Medicaid
TN1669416442OtherGROUP NPI
TNCI2260OtherRAILROAD MEDICARE
TNCI2260OtherRAILROAD MEDICARE
TN3106057OtherBLUE CROSS
TND70165Medicare UPIN
TN3714752Medicare PIN
TN3158660Medicare ID - Type Unspecified