Provider Demographics
NPI:1942395371
Name:ALLRED, WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:ALLRED
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 1:9314 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:888-211-1054
Mailing Address - Fax:833-592-2350
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:888-211-1054
Practice Address - Fax:833-592-2350
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD602737252084N0400X
IN01079034A2084N0400X
GA0581332084N0400X
TN528872084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01256531OtherRR MEDICARE
TNQ016702Medicaid
WA315976OtherL&I POST 7/21/13
MS09505243Medicaid
AR236795001Medicaid
WA0295203OtherL&I
TN103I137324Medicare PIN