William David Dunavant Jr, MD | |
1500 W Poplar Ave, Collierville, TN 38017-0601 | |
(901) 767-8301 | |
(901) 767-8302 |
Full Name | William David Dunavant Jr |
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Gender | Male |
Speciality | Surgery |
Location | 1500 W Poplar Ave, Collierville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740367176 | NPI | - | NPPES |
0030170 | Other | TN | BLUE CROSS BS OF TN |
4020505 | Other | TN | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | TN9034 (Tennessee) | Primary |
Entity Name | Baptist Memorial Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385 |
Mailing Address | Practice Location Address |
---|---|
William David Dunavant Jr, MD 6440 River Tide Dr, Memphis, TN 38120-2638 Ph: (901) 767-8301 | William David Dunavant Jr, MD 1500 W Poplar Ave, Collierville, TN 38017-0601 Ph: (901) 767-8301 |
Dr. Lovell Bernard Smith Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 554 Green Tree Cv, Ste 202, Collierville, TN 38017 Phone: 901-570-1775 Fax: 901-853-4530 | |
William David Dunavant Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 W Poplar Ave Ste 304, Collierville, TN 38017 Phone: 901-767-8301 Fax: 901-767-8302 |