Provider Demographics
NPI:1396787495
Name:MEADOWS, WILLIAM E III (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:MEADOWS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:6170 SHALLOWFORD RD
Mailing Address - Street 2:101
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1892
Mailing Address - Country:US
Mailing Address - Phone:423-648-4500
Mailing Address - Fax:423-855-7563
Practice Address - Street 1:2021 HAMILTON PLACE BLVD
Practice Address - Street 2:G
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6046
Practice Address - Country:US
Practice Address - Phone:423-899-6222
Practice Address - Fax:423-490-0294
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2020-01-30
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Provider Licenses
StateLicense IDTaxonomies
GA30513207Q00000X, 208D00000X
TNMD0000014303207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529932837Medicaid
3001863Medicare ID - Type Unspecified
TN1016710001Medicare NSC