Provider Demographics
NPI:1588733992
Name:SHAPPLEY, WILLIAM VANCE III (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:VANCE
Last Name:SHAPPLEY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:7705 POPLAR AVENUE
Mailing Address - Street 2:SUITE 310B THE SHAPPLEY CLINIC
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138
Mailing Address - Country:US
Mailing Address - Phone:901-759-0101
Mailing Address - Fax:901-759-1588
Practice Address - Street 1:7705 POPLAR AVENUE
Practice Address - Street 2:SUITE 310B THE SHAPPLEY CLINIC
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138
Practice Address - Country:US
Practice Address - Phone:901-759-0101
Practice Address - Fax:901-759-1588
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2011-01-24
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Provider Licenses
StateLicense IDTaxonomies
MA221707208800000X
TN44581208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology