Individual
JOHN C. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 AZALEA DR STE A, OXFORD, MS 38655-5397
(662) 236-7738
(662) 236-9642
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
51509
TN
207R00000X
Internal Medicine Physician
0101254562
VA
207R00000X
Internal Medicine Physician
51509
TN
207RH0003X
Hematology & Oncology Physician
Primary
24648
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05001549
—
MS
Enumeration date
05/12/2010
Last updated
06/04/2021
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