Individual
JONATHAN JACOB ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1924 ALCOA HWY, U.T. MEDICAL CENTER, KNOXVILLE, TN 37920
(865) 305-9340
Mailing address
PO BOX 1168, JAMESTOWN, TN 38556-1168
(423) 444-9584
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036155048
IL
2085R0202X
Diagnostic Radiology Physician
2021001554
MO
2085R0202X
Diagnostic Radiology Physician
Primary
57895
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
04/13/2016
Last updated
04/18/2024
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