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1053569145
RANDALL MATTHEW WILLIS
KNOXVILLE, TN
NPI
1053569145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083S0010X Preventive Medicine, Sports Medicine
(Licence: TN 14380)
Enumeration Date
2008-09-03
Last Update Date
2008-09-03
Business Address
Dr. RANDALL MATTHEW WILLIS MD
207 BRECHIN LN
KNOXVILLE, TN 37909-2165
Phone number: 865-406-4044
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Mailing Address
Dr. RANDALL MATTHEW WILLIS MD
5508 KINGSTON PIKE SUITE 150
KNOXVILLE, TN 37919-5048
Phone number: 865-584-6464
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