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Individual

THOMAS T ALLEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3030
TN
207Q00000X
Family Medicine Physician
3030
TN
207R00000X
Internal Medicine Physician
3030
TN
208000000X
Pediatrics Physician
3030
TN
208100000X
Physical Medicine & Rehabilitation Physician
3030
TN
2085R0202X
Diagnostic Radiology Physician
3030
TN
208600000X
Surgery Physician
3030
TN
363AM0700X
Medical Physician Assistant
Primary
3030
TN

Other

Enumeration date
05/18/2016
Last updated
06/10/2024
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