Provider Demographics
NPI:1275824211
Name:STAGGS, WILLIAM BIRL JR (DPH)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BIRL
Last Name:STAGGS
Suffix:JR
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 OXTON HILL LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2129
Mailing Address - Country:US
Mailing Address - Phone:615-519-4111
Mailing Address - Fax:615-269-7170
Practice Address - Street 1:2131 ABBOTT MARTIN RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2699
Practice Address - Country:US
Practice Address - Phone:615-297-4431
Practice Address - Fax:615-269-7170
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist