Individual
JONATHON C. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 DE SALES AVENUE, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Mailing address
725 GLENWOOD DRIVE, SUITE E-487, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42171
TN
207P00000X
Emergency Medicine Physician
56949
GA
207P00000X
Emergency Medicine Physician
Primary
MD042171
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000083
—
TN
01
—
4154007
BLUE CROSS
TN
01
—
P00416699
RAILROAD/MEDICARE
TN
Enumeration date
08/01/2006
Last updated
11/18/2011
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