Individual
DONALD WOOD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
410 8TH AVE BLDG 250, SMYRNA, TN 37167
(615) 267-7140
Mailing address
1330 STEWART CREEK RD, MURFREESBORO, TN 37129-2694
(615) 417-6371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01141
TN
363AM0700X
Medical Physician Assistant
01141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01141
STATE OF TENNESSEE PA LIC
—
01
—
1061825
NCCPA NUMBER
—
Enumeration date
03/08/2006
Last updated
11/08/2018
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