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Individual

J. DAVIS ALLAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7744 CONNER ROAD, POWELL, TN 37849
(865) 546-9751
Mailing address
1275 DICK LONAS RD, STE 101, KNOXVILLE, TN 37909-1326
(865) 584-4747
(865) 584-1363

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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