Provider Demographics
NPI:1992774798
Name:SNEARLY, WILLIAM NORMAN (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:NORMAN
Last Name:SNEARLY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:308 NORTH PETERS ROAD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922
Mailing Address - Country:US
Mailing Address - Phone:865-694-0062
Mailing Address - Fax:865-694-7907
Practice Address - Street 1:8 CADILLAC DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-376-7500
Practice Address - Fax:615-376-7575
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2013-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ72022085R0202X
MN310132085R0202X
VA01010515692085R0202X
AZ278252085R0202X
WI458210202085R0202X
TN388142085R0202X
NMTM200403382085R0202X
LAMD015785R2085R0202X
MS188042085R0202X
IN01060229A2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3896163Medicaid
G00258Medicare UPIN
TN3896163Medicare PIN