Individual
DR. ALAN ROSS DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
287 W TURN TABLE RD, SPARTA, TN 38583-1366
(931) 836-3262
(931) 836-3269
Mailing address
2300 MONTEREY HWY, SPARTA, TN 38583-7600
(931) 738-8028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000016257
TN
208M00000X
Hospitalist Physician
16257
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10075887
—
SD
01
—
2001672
BLUE CROSS ID #
TN
05
—
3014532
—
TN
Enumeration date
06/16/2005
Last updated
07/20/2021
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