Provider Demographics
NPI:1255446175
Name:REID, WILLIAM STUART JR (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:STUART
Last Name:REID
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1819 W CLINCH AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-2434
Mailing Address - Country:US
Mailing Address - Phone:865-541-2835
Mailing Address - Fax:865-541-1003
Practice Address - Street 1:1819 W CLINCH AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2434
Practice Address - Country:US
Practice Address - Phone:865-541-2835
Practice Address - Fax:865-541-1003
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2014-01-08
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Provider Licenses
StateLicense IDTaxonomies
TN0000011917207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3171516Medicaid
TN3171516Medicaid