Individual
ALLYSON ANYANWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
504 N HIGHLAND AVE, JACKSON, TN 38301-4825
(731) 574-9111
(731) 574-9999
Mailing address
504 N HIGHLAND AVE, JACKSON, TN 38301-4825
(731) 574-9111
(731) 574-9999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40626
TN
207P00000X
Emergency Medicine Physician
7778
AR
207Q00000X
Family Medicine Physician
Primary
40626
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q069985
—
TN
Enumeration date
05/16/2006
Last updated
04/28/2023
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