Individual
MR. WILLIAM JAMES ADERHOLD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
105 GAY ST, ERWIN, TN 37650
(423) 743-6141
(423) 743-1083
Mailing address
PO BOX 399, ERWIN, TN 37650-0399
(423) 743-6141
(423) 743-1083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1667
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11914419
CAQH
—
05
—
1510917
—
TN
Enumeration date
12/08/2006
Last updated
03/07/2023
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