Organization
DEA, MD, PC
Active
Other names
DEA, MD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DERRON E ALLEN MD (OWNER)
(615) 479-0743
Entity
Organization
Contact information
Practice address
138 FAIRBANKS RD, OAK RIDGE, TN 37830-7077
(931) 248-1414
(931) 707-5178
Mailing address
PO BOX 3350, CROSSVILLE, TN 38557-3350
(931) 248-1414
(931) 707-5178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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