# BILLY J ALLEN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851560700
- **Authorized official:** DR. BILLY J ALLEN M.D. (PRESIDEN)
- **Authorized official phone:** (423) 238-5668

## Contact information

- **Practice address:** 5623 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-7806
- **Practice address phone:** (423) 238-5668
- **Mailing address:** PO BOX 731, 5623 OOLTEWAH-RINGGOLD ROAD, OOLTEWAH, TN 37363-0731
- **Mailing address phone:** (423) 238-5668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4706 | TN | Yes |
| 207R00000X | Internal Medicine Physician | 14062 | TN | — |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 02/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0036498 | BLUE CROSS BLUE SHIELD | TN |
| 01 | — | 2004003 | BLUE CROSS BLUE SHIELD | TN |