Provider Demographics
NPI:1639826324
Name:A&W EMG MUSCLE & NERVE PLLC
Entity Type:Organization
Organization Name:A&W EMG MUSCLE & NERVE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-211-1054
Mailing Address - Street 1:9314 PARK WEST BLVD STE 404
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4329
Mailing Address - Country:US
Mailing Address - Phone:301-356-0970
Mailing Address - Fax:
Practice Address - Street 1:9314 PARK WEST BLVD STE 404
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4329
Practice Address - Country:US
Practice Address - Phone:301-356-0970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty