Provider Demographics
NPI:1760830947
Name:GREENWAY, ALLEN JAMES (PA-C)
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:JAMES
Last Name:GREENWAY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10800 PARKSIDE DR STE 330
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1926
Mailing Address - Country:US
Mailing Address - Phone:865-647-3550
Mailing Address - Fax:865-647-3559
Practice Address - Street 1:10800 PARKSIDE DR STE 330
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1926
Practice Address - Country:US
Practice Address - Phone:865-647-3550
Practice Address - Fax:865-647-3559
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA6321363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant