Individual
MR. ROBERT CHARLES ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
(423) 230-6852
Mailing address
105 W STONE DR STE 6A, KINGSPORT, TN 37660-3256
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
55885
TN
2086S0129X
Vascular Surgery Physician
Primary
55885
TN
390200000X
Student in an Organized Health Care Education/Training Program
088001605
TN
Other
Enumeration date
07/01/2009
Last updated
07/21/2022
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