Provider Demographics
NPI:1295781169
Name:ZACHARY, WILLIAM HENRY 'HANK' (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRY 'HANK'
Last Name:ZACHARY
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 1:144 MEDICAL CENTER DRIVE
Mailing Address - Street 2:BLDG C
Mailing Address - City:COPPERHILL
Mailing Address - State:TN
Mailing Address - Zip Code:37317-5005
Mailing Address - Country:US
Mailing Address - Phone:423-496-5511
Mailing Address - Fax:
Practice Address - Street 1:886 HIGHWAY 411 N
Practice Address - Street 2:
Practice Address - City:ETOWAH
Practice Address - State:TN
Practice Address - Zip Code:37331-1912
Practice Address - Country:US
Practice Address - Phone:423-263-3600
Practice Address - Fax:423-263-3601
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29584207P00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00667679OtherRAILROAD MCARE THRU AMS
TN1508560Medicaid
TN4185219OtherBCBS OF TN
TN38261021Medicare PIN