Individual
JAMES THOMAS ALLAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 SUMMIT CROSSING PL, SUITE 106, GASTONIA, NC 28054-2176
(704) 867-8021
(704) 864-4606
Mailing address
620 SUMMIT CROSSING PL, SUITE 106, GASTONIA, NC 28054-2176
(704) 867-8021
(704) 864-4606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10729
BLUE CROSS BLUE SHIELD
—
01
—
1642990
UNITED HEALTHCARE
—
01
—
2353010
AETNA HMO
—
05
—
415310
—
SC
01
—
4617272
AETNA PPO
—
01
—
6672
PARTNERS
—
01
—
73395
MEDCOST
—
05
—
8910729
—
NC
Enumeration date
11/25/2005
Last updated
07/08/2007
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