Individual provider · Type 1 NPI
Randall Matthew Willis, MD
Sports Medicine (Preventive Medicine) Physician · Knoxville, TN
NPI number
1053569145
Active
Practice location
207 Brechin Ln
Knoxville, TN 37909-2165
Mailing address
5508 Kingston Pike, Suite 150
Knoxville, TN 37919-5048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | 14380 (TN) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
About NPI 1053569145
Randall Matthew Willis, MD's National Provider Identifier is 1053569145, issued on Sep 3, 2008. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Knoxville, TN. The record was last updated on Sep 3, 2008.