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Organization
BILLY J ALLEN MD PC
Active
Organization
BILLY J ALLEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY J ALLEN M.D. (PRESIDEN)
(423) 238-5668
Entity
Organization
Contact information
Practice address
5623 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-7806
(423) 238-5668
Mailing address
PO BOX 731, 5623 OOLTEWAH-RINGGOLD ROAD, OOLTEWAH, TN 37363-0731
(423) 238-5668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4706
TN
207R00000X
Internal Medicine Physician
14062
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036498
BLUE CROSS BLUE SHIELD
TN
01
—
2004003
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/25/2008
Last updated
02/25/2008
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