William W. Bucy, Md, Pc | |
2162 Judicial Dr Germantown TN 38138-3823 | |
(901) 756-1050 | |
(901) 756-9862 |
Full Name | William W. Bucy, Md, Pc |
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Speciality | Family Medicine |
Location | 2162 Judicial Dr, Germantown, Tennessee |
Authorized Official Name and Position | William W Bucy (OWNER) |
Authorized Official Contact | 9017561050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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William W. Bucy, Md, Pc 2162 Judicial Dr Germantown TN 38138-3823 Ph: (901) 756-1050 | William W. Bucy, Md, Pc 2162 Judicial Dr Germantown TN 38138-3823 Ph: (901) 756-1050 |
NPI Number | 1780870048 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 09/20/2007 |
Medicare PECOS PAC ID | 3678769296 |
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Medicare Enrollment ID | O20101122001019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780870048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Tennessee) | Primary |
Provider Name | William Wesson Bucy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508831264 PECOS PAC ID: 5597951103 Enrollment ID: I20101122000993 |
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