Willis, Donald Clinton

Willis, Donald Clinton is an individual health care provider with primary practice located at 325 N State Of Franklin Rd Fl 1 , Johnson City TN 37604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Willis, Donald Clinton can be contacted via phone (423) 439-7272.

Contact Information

Primary practice address
325 N State Of Franklin Rd Fl 1 Johnson City TN 37604
Phone: (423) 439-7272
Fax: (423) 439-7235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD57056 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME30920 Florida

Profile Details

NPI number 1902870611
LBN Legal business name Willis, Donald Clinton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 5th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902870611 NPPES
Florida MEDICAID 039811000

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