Individual provider · Type 1 NPI
Marshall Ray Willis, MD
Diagnostic Radiology Physician · Jasper, TN
NPI number
1528054293
Active
Practice location
1000 Highway 28, Grandview Medical Center
Jasper, TN 37347-3638
Fax (423) 942-9982
Mailing address
PO Box 128, 195 Myers Ave
Guild, TN 37340-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 011377 (TN) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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- Red Spruce Emergency Physicians, PPLCEmergency Medicine Physician Jasper, TN NPI 1013380500
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About NPI 1528054293
Marshall Ray Willis, MD's National Provider Identifier is 1528054293, issued on Sep 27, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jasper, TN. The record was last updated on Jul 13, 2026.