Individual
ZACHARY LANCE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC , MBA
Contact information
Practice address
1 BLOWERS BLVD, MILLIGAN COLLEGE, TN 37682
(423) 461-8991
Mailing address
4012 LAKELAND DR, KINGSPORT, TN 37664-5162
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
0000001462
TN
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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