Healthcare Provider Details

I. General information

NPI: 1750731998
Provider Name (Legal Business Name): WILLIAM ALLEN MARSHALL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2016
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5716 CLEVELAND ST STE 200
VIRGINIA BEACH VA
23462-1784
US

IV. Provider business mailing address

2400 PATTERSON ST STE 100
NASHVILLE TN
37203-2385
US

V. Phone/Fax

Practice location:
  • Phone: 757-490-4802
  • Fax:
Mailing address:
  • Phone: 615-342-0038
  • Fax: 615-324-1795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number62780
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number39629
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101281204
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: