Individual
J. DAVIS ALLAN JR.
Active
Individual
J. DAVIS ALLAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26122
TN
207RI0200X
Infectious Disease Physician
26122
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110136850
RR MEDICARE
TN
05
—
3087419
—
TN
Enumeration date
06/19/2006
Last updated
12/12/2018
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