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THOMAS G ALLEN MD

Physicians Family Medicine

Provider NPI: 1417142092

Provider Information:
 THOMAS G ALLEN MD
Gender: M
Sole Proprietor

Practice Location:
950 MAIN ST STE A  WARTBURG, TN 37887-4310 US
Tel: 423-346-2620  Fax: 423-346-2624

Business Mailing Address:
950 MAIN ST STE A  WARTBURG, TN 37887-4310 US
Tel: 423-346-2620  Fax: 423-346-2624

NPI Information:
NPI: 1417142092
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XPhysicians
Family Medicine
TNMD0000015065
N207QA0505XPhysicians
Family Medicine
TNMD0000015065
N207QG0300XPhysicians
Family Medicine
TNMD0000015065
N207QS1201X
TNMD0000015065
N207QA0401XPhysicians
Family Medicine
TNMD0000015065
N207QS0010XPhysicians
Family Medicine
TNMD0000015065
N207QA0000XPhysicians
Family Medicine
TNMD0000015065
N208D00000XPhysicians
General Practice
TNMD0000015065

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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