William D. Lyles, Jr., M.D. and Associates, PLLC
Organization Active NPI Family Medicine Physician · Hartsville, TN
NPI 1063444909 · NPPES record last updated Jan 26, 2012
Key facts
- NPI
- 1063444909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 16864 (TN)
- Legal business name
- WILLIAM D. LYLES, JR., M.D. AND ASSOCIATES, PLLC
- Practice address
- 205 Broadway
Hartsville, TN 37074-1303 - Phone
- (615) 374-0703
- Fax
- (615) 374-0019
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. William D Lyles Jr., M.D.
- Title
- Ceo
- Phone
- (615) 374-0703
Practitioners 5
-
Nikki Lynn Adams, NP
-
Dorothy Crowder, FNP
-
Philisie M Wilcox, APRN-BC
-
Ronda M Worsham, RNMSNCS FNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 16864 | TN | Yes |
| Obstetrics & Gynecology Physician |
207V00000X | 16864 | TN |
Addresses
Primary practice location
205 Broadway
Hartsville, TN 37074-1303
Mailing address
PO Box 483
Hartsville, TN 37074-0483
Phone (615) 374-0703
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3727762 | Medicaid | TN | |
| 4097932 | Other | TN | BLUECROSS BLUESHIELD |
Other providers in Hartsville, TN
- Trousdale Wellness Pharmacy LLC
- Trousdale Wellness Pharmacy LLC
- United Neighborhood Health Services, Inc
- Joshua Vantrease
- Walgreen Co
- La Shonda Shere Wright
All providers in Hartsville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.