Fly, William Randolph

Fly, William Randolph is an individual health care provider with primary practice located at 120 Hospital Dr Suite 250, Jefferson City TN 37760-5287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fly, William Randolph can be contacted via phone (865) 475-4484.

Contact Information

Primary practice address
120 Hospital Dr Suite 250 Jefferson City TN 37760-5287
Phone: (865) 475-4484
Fax: (865) 475-1124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 15794 Tennessee

Profile Details

NPI number 1063473346
LBN Legal business name Fly, William Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jun 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063473346 NPPES
Tennessee Other P01315239 RAILROAD MEDICARE
Tennessee MEDICAID Q001842 RAILROAD MEDICARE
Tennessee Other 2577295 RAILROAD MEDICARE
Tennessee Other 200046272 RAILROAD MEDICARE
Tennessee Other 6004897 RAILROAD MEDICARE
Tennessee Other 7962437 RAILROAD MEDICARE

Popular Providers