Provider Demographics
NPI:1750347464
Name:STEELY, WILLIAM MORRIS (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MORRIS
Last Name:STEELY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:MORRIS
Other - Last Name:STEELY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:787 WEATHERLY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8949
Practice Address - Country:US
Practice Address - Phone:931-552-0380
Practice Address - Fax:931-551-3157
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0018913208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6087074OtherBCBS TN
TN100764OtherBCBS PROVIDER NUMBER
TNQ016945Medicaid
TNC77176Medicare UPIN
TNQ016945Medicaid
TN103I026400Medicare PIN