Provider Demographics
NPI:1093787590
Name:POWERS, WILLIAM PHILLIP (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PHILLIP
Last Name:POWERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10810 PARKSIDE DR
Mailing Address - Street 2:SUITE G-15
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1979
Mailing Address - Country:US
Mailing Address - Phone:865-218-7555
Mailing Address - Fax:865-218-7556
Practice Address - Street 1:10810 PARKSIDE DR
Practice Address - Street 2:SUITE G-15
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1979
Practice Address - Country:US
Practice Address - Phone:865-218-7555
Practice Address - Fax:865-218-7556
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD14823207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3026427Medicaid
TNA99031Medicare UPIN
TN3026427Medicaid